Active NPI
Zoe Dakota Simeone, ATC
- Athletic Trainer
- Oceanside, NY
National Provider Identifier
1912499039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 004129
- Practice address
- 2837 Long Beach Rd
Oceanside, NY 11572-2233 - Phone
- (516) 549-5080
- NPI assigned
- Jun 4, 2018
- Last updated
- Aug 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | NU | ||
| Athletic Trainer | 2255A2300X | 004129 | NY | Primary |
Addresses
Primary practice location
2837 Long Beach Rd
Oceanside, NY 11572-2233
Mailing address
11 Farnum St
Lynbrook, NY 11563-3920
Other practice location 1
80 Ocean Ave
Malverne, NY 11565-2242
Phone (516) 887-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004129 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691798400000",
"number": "1912499039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FARNUM ST",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2837 LONG BEACH RD",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115722233",
"telephone_number": "516-549-5080"
}
],
"practiceLocations": [
{
"address_1": "80 Ocean Ave",
"address_purpose": "LOCATION",
"city": "Malverne",
"state": "NY",
"postal_code": "115652242",
"country_code": "US",
"telephone_number": "516-887-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMEONE",
"first_name": "ZOE",
"middle_name": "DAKOTA",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2023-08-12",
"certification_date": "2023-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "004129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.