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DR. DAVID ELIJAH JOHN SIMON DO NPI 1184144925


NPI Information

NPI: 1184144925
Provider Name: DR. DAVID ELIJAH JOHN SIMON, DO
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Organization: EMERGENCY MEDICAL ASSOCIATION OF NEW YORK PC

PECOS Registration: Yes

Address:
5645 MAIN ST
FLUSHING, NY
ZIP 11355
Phone: (718) 670-2000
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DR. David Elijah John Simon, DO is a student in an organized health care education training program in Flushing, NY with 7 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. David Elijah John Simon, DO NPI is 1184144925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2017

The provider's business location address is:

5645 MAIN ST
FLUSHING, NY
ZIP 11355-045
Phone: (718) 670-2000

The NPI 1184144925 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2017 and was last updated on 6/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.