Organization Active NPI

Robert V Simeone DC PC

  • Chiropractor
  • Staten Island, NY
National Provider Identifier
1881962017
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROBERT V SIMEONE DC PC
Practice address
456 Arlene St
Staten Island, NY 10314-3814
Phone
(718) 494-0675
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Authorized official

Name
Robert Vincent Simeone, DCNPI 1104040138
Title
Chiropractor
Phone
(718) 494-0615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

456 Arlene St
Staten Island, NY 10314-3814

Mailing address

456 Arlene St
Staten Island, NY 10314-3814
Phone (718) 494-0675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111206000010 NY Part B Supplier - Clinic/Group Practice 0446425300 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

456 Arlene St
Staten Island, NY 10314
Phone (718) 477-9797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1881962017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 ARLENE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143814",
            "telephone_number": "718-494-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 ARLENE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143814",
            "telephone_number": "718-494-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT V SIMEONE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "SIMEONE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "718-494-0615",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.