Active NPI
Tamara Simpson, MBBS
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1891424818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- North Central Bronx Hospital
3424 Kossuth Ave, Bronx
New York, NY 10467 - Phone
- (718) 519-5000
- NPI assigned
- Jun 6, 2022
- Reactivated
- Mar 21, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
North Central Bronx Hospital
3424 Kossuth Ave, Bronx
New York, NY 10467
Mailing address
1400 Pelham Parkway South, Jacobi Medical Center
Bronx
New York, NY 10461
Phone (718) 918-5000
Other names 1
- Ms. Tamara Dzudovic
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260515001671 | NY | Practitioner - Internal Medicine | 2365944527 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2155 E Liberty LN Apt
Suite 363
Phoenix, AZ 85048-8143
5402 Fort Hamilton Pkwy
FL 6
Brooklyn, NY 11219-4037
PO Box
Suite 824320
Philadelphia, PA 19182-4230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1891424818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER",
"address_2": "BRONX",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-918-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTH CENTRAL BRONX HOSPITAL",
"address_2": "3424 KOSSUTH AVE, BRONX",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-519-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "TAMARA",
"name_prefix": "Mrs.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"deactivation_date": "2023-03-03",
"reactivation_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMARA",
"last_name": "DZUDOVIC",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.