Active NPI
Mid Atlantic Healthcare Services PC
- Family Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1992632087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MID ATLANTIC HEALTHCARE SERVICES PC
- Practice address
- 340 Lynn Shores Dr
Virginia Beach, VA 23452-2416 - Phone
- (212) 734-6621
- NPI assigned
- May 5, 2026
- Last updated
- May 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Simon Fensterszaub
- Title
- DO
- Phone
- (917) 863-8499
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
340 Lynn Shores Dr
Virginia Beach, VA 23452-2416
Mailing address
175 Route 70 Ste 203
Toms River, NJ 08755-0954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
175 Route 70
Ste 203
Toms River, NJ 08755
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777939200000",
"number": "1992632087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 ROUTE 70 STE 203",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087550954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 LYNN SHORES DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234522416",
"telephone_number": "212-734-6621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID ATLANTIC HEALTHCARE SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-05",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A",
"authorized_official_last_name": "FENSTERSZAUB",
"authorized_official_first_name": "SIMON",
"authorized_official_title_or_position": "DO",
"authorized_official_telephone_number": "917-863-8499"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Quineta Engwali Michael
- Samantha Michael, MS ED CCC-SLP
- Michele T Mikesell LCSW (Princess Anne Psychological Associates)
- Courtney Elizabeth Michels
- Angelica Miciano, M.A, CF-SLP
- Mid Atlantic Implant and Oral Surgery Center P.C.
- Mid-Atlantic Bracing, Inc.
- Mid-Atlantic Family Medicine PLC
- Mid-Atlantic Family Practice
- Mid-Atlantic Women's Care, PLC (Virginia Beach OBGYN)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.