Active NPI
Beth Jennifer Simon, MD
- Obstetrics & Gynecology Physician
- Harrison, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 215911-1
- Practice address
- 600 Mamaroneck Ave
Harrison, NY 10528-1635 - Phone
- (914) 723-8100
- Fax
- (914) 219-1928
- NPI assigned
- Aug 9, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 215911-1 | NY | Primary |
Addresses
Primary practice location
600 Mamaroneck Ave
Harrison, NY 10528-1635
Mailing address
500 W Putnam Ave
Greenwich, CT 06830-6086
Phone (475) 240-8222
Other practice location 1
259 Heathcote Rd
Scarsdale, NY 10583-4523
Phone (914) 723-8100 ext. 106
Other practice location 2
500 W Putnam Ave
Greenwich, CT 06830-6086
Phone (475) 240-8222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02317839 | Medicaid | NY |
Other names 1
- Beth Jennifer Roth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 W Putnam Ave
Greenwich, CT 06830-6086
Phone (203) 863-3671
Hospital & facility affiliations
- Greenwich Hospital Association -
- White Plains Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215911-1 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| St Lukes Roosevelt Community Care | Obstetrics & Gynecology | Past | Accepting new patients |
| Northeast Medical Group, PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
| St Lukes Roosevelt Hospital Center | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
500 W Putnam Ave
Ste 7B
Greenwich, CT 06830
5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330
500 W Putnam Ave
Greenwich, CT 06830
Phone (203) 869-2510
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- bsimon160510@direct.ynhh.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Obstetrics & Gynecology
-
- Internal Medicine Physician
- New York, NY
- NPI 1740469246
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1285600106
-
- Internal Medicine Physician
- Greenwich, CT
- NPI 1942526207
Obstetrics & Gynecology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
-
- General Acute Care Hospital
- Greenwich, CT
- NPI 1609846088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1972504132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W PUTNAM AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306086",
"telephone_number": "475-240-8222",
"fax_number": "475-240-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MAMARONECK AVE",
"city": "HARRISON",
"state": "NY",
"postal_code": "105281635",
"telephone_number": "914-723-8100",
"fax_number": "914-219-1928"
}
],
"practiceLocations": [
{
"address_1": "259 Heathcote Rd",
"address_purpose": "LOCATION",
"city": "Scarsdale",
"state": "NY",
"postal_code": "105834523",
"country_code": "US",
"telephone_number": "914-723-8100 x106",
"fax_number": "914-219-1928",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W Putnam Ave",
"address_purpose": "LOCATION",
"city": "Greenwich",
"state": "CT",
"postal_code": "068306086",
"country_code": "US",
"telephone_number": "475-240-8222",
"fax_number": "475-240-8223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMON",
"first_name": "BETH",
"middle_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "215911-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02317839",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "ROTH",
"middle_name": "JENNIFER",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Harrison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.