Jesse Noah Simon, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

023506 Issued in NY

Practice address

129A Hillside Ave
Williston Park, NY 11596-2305

Phone

(516) 742-5243

Fax

(516) 742-3536

NPI assigned

Apr 29, 2019

Last updated

Oct 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• S.E.E.D.S. of the Willistons Inc.

  • Speech-Language Pathologist
  • Williston Park, NY
  • NPI 1437118767
  NPD (past)

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1902460595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129A HILLSIDE AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962305",
            "telephone_number": "516-742-5243",
            "fax_number": "516-742-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129A HILLSIDE AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962305",
            "telephone_number": "516-742-5243",
            "fax_number": "516-742-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JESSE",
        "middle_name": "NOAH",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Sfiroudis, DDS, MS
• Joel Bendet Sheinbaum, D.D.S.
• Amanda Sherwood
• Nalini K Sheth, B.S.
• Andrew Sidi, MFT-LP
• Vinod Singh, DPT
• SJG Psychotherapy Inc
• Odalia Skeete
• SLP Ny Consultant PC
• Smile Psychiatric Nurse Practitioner PC

• Occupational Therapist in Williston Park, NY
• Providers in Williston Park, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.