Active NPI
Simon Duong, RPA-C
- Physician Assistant
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 015872-1
- Practice address
- 8712 4TH Ave
Brooklyn, NY 11209-5110 - Phone
- (718) 530-1155
- NPI assigned
- Sep 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 015872-1 | NY | Primary |
Addresses
Primary practice location
8712 4TH Ave
Brooklyn, NY 11209-5110
Mailing address
6010 Bay Pkwy Ste 902
Brooklyn, NY 11204-6091
Phone (718) 475-1700
Other practice location 1
15 Abbey Creek Ct
USA Medical Services, PC
East Islip, NY 11730-2211
Phone (877) 468-2211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800
6010 Bay Pkwy
Suite 603
Brooklyn, NY 11204-6080
Phone (718) 236-7520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015872-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Triage Care LLC | Physician Assistant | Current | Accepting new patients |
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| USA Medical Services PC | Past | Accepting new patients |
Locations
445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320
6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100
6010 Bay Pkwy
Ste 902
Brooklyn, NY 11204
Phone (718) 475-1700
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- simonduong@mai.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1730454083
-
- Physician Assistant
- Brooklyn, NY
- NPI 1023784618
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1942795943
-
- Surgery Physician
- Tampa, FL
- NPI 1083677181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1891046918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 BAY PKWY STE 902",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112046091",
"telephone_number": "718-475-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8712 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112095110",
"telephone_number": "718-530-1155"
}
],
"practiceLocations": [
{
"address_1": "15 Abbey Creek Ct",
"address_2": "USA Medical Services, PC",
"address_purpose": "LOCATION",
"city": "East Islip",
"state": "NY",
"postal_code": "117302211",
"country_code": "US",
"telephone_number": "877-468-2211",
"fax_number": "877-868-4888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUONG",
"first_name": "SIMON",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-28",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "015872-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.