Individual provider Active NPI

Tamara Simpson, MBBS

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
National Provider Identifier
1891424818
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.