Individual provider Active NPI

Simeon Shalom Feinberg, M.D.

  • Psychiatry Physician
  • Forest Hills, NY
National Provider Identifier
1881721652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
147218 Issued in NY
Practice address
10828 68TH Dr
Forest Hills, NY 11375-2951
Phone
(718) 520-7200
Fax
(718) 520-1544
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 147218 NY Primary

Addresses

Primary practice location

10828 68TH Dr
Forest Hills, NY 11375-2951

Mailing address

10828 68TH Dr
Forest Hills, NY 11375-2951
Phone (718) 520-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2013 through Jan 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York University School of Medicine, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10828 68TH Dr
Forest Hills, NY 11375-2951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
147218NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Moss PC Past Accepting new patients
Edward Moss MD PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881721652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10828 68TH DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752951",
            "telephone_number": "718-520-7200",
            "fax_number": "718-520-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10828 68TH DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752951",
            "telephone_number": "718-520-7200",
            "fax_number": "718-520-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINBERG",
        "first_name": "SIMEON",
        "middle_name": "SHALOM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "147218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.