Individual provider Active NPI

Gina M Simoncini, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1972755544
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD436795 Issued in PA
Practice address
3322 N Broad St
Philadelphia, PA 19140-5185
Phone
(215) 707-1800
Fax
(215) 707-3644
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD436795 PA Primary

Addresses

Primary practice location

3322 N Broad St
Philadelphia, PA 19140-5185

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090826000755 PA Practitioner - Internal Medicine 5991850984 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD436795PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Mar 11, 2019 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Jan 21, 2024 Accepting new patients
Absolutecare of Philadelphia, LLC CurrentSince Jun 17, 2024 Accepting new patients
AIDS Healthcare Foundation CurrentSince Oct 5, 2020 Accepting new patients
Absolutecare of Philadelphia, LLC CurrentSince Jun 17, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Internal Medicine CurrentSince Mar 11, 2019 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Jan 21, 2024 Accepting new patients
AIDS Healthcare Foundation CurrentSince Oct 5, 2020 Accepting new patients

Locations

99 N La Cienega Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 657-9353

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

2140 Peachtree Rd NW
Ste 232
Atlanta, GA 30309
Phone (888) 708-0561

10175 Little Patuxent Pkwy
Ste 800
Columbia, MD 21044

1211 Chestnut St
Ste 405
Philadelphia, PA 19107
Phone (215) 971-2804

1080 N Delaware Ave
Ste 800
Philadelphia, PA 19125
Phone (267) 463-5800

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

3322 N Broad St
Philadelphia, PA 19140
Phone (215) 707-4000

1080 N Delaware Ave
Philadelphia, PA 19125
Phone (215) 287-2114

1316 W Ontario St
Fl 1
Philadelphia, PA 19140
Phone (215) 707-7901

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1972755544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-1800",
            "fax_number": "215-707-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405185",
            "telephone_number": "215-707-1800",
            "fax_number": "215-707-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONCINI",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD436795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.