Simon Young DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

65 -- N003147 Issued in NY

Legal business name

SIMON YOUNG DPM PC

Practice address

110 W 96TH St
Suite #1a
New York, NY 10025-6413

Phone

(212) 316-7000

Fax

(212) 662-3000

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Simon Young, DPMNPI 1083614895

Title

President/Sec'T -- Treas/Podiatrist

Phone

(212) 316-7000

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Simon Young, DPM

  • Podiatrist
  • New York, NY
  • NPI 1083614895
  Medicare reassignment NPD Authorized official
• John R Moy, DPM

  • Primary Podiatric Medicine Podiatrist
  • Orlando, FL
  • NPI 1649251786
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1942210703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HAROLD ST",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543749",
            "telephone_number": "845-215-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 96TH ST",
            "address_2": "SUITE #1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256413",
            "telephone_number": "212-316-7000",
            "fax_number": "212-662-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON YOUNG DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT/SEC'T -- TREAS/PODIATRIST",
        "authorized_official_telephone_number": "212-316-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "65 -- N003147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/GUARDIAN",
            "identifier": "IC0569",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00582081",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NS3363",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0011123",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Simoes, MSPT
• Priya Karen Simoes, MD
• Sophia Elisa Simoes
• Simon J Langer LCSW PLLC
• Simon Psychological Services, PLLC
• Agnes Simon, RN
• Alexis V Simon, PT, DPT
• Amanda Simon, LCSW
• Annette Colleen Simon, LPN
• Annrose Simon, LCSW

• Foot & Ankle Surgery Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.