DR. SIMON YOUNG (NPI# 1083614895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083614895 |
| Entity Type | Individual |
| Full Name | DR. SIMON YOUNG |
| Credential | DPM |
| Practice Address |
110 W 96th St Ste 1a New York NY 10025-6413 |
| Mailing Address |
31 Harold St Nanuet NY 10954-3749 |
| Practice Telephone | 2123167000 |
| Practice Fax Number | 2126623000 |
| Mailing Telephone | 8452155366 |
| Mailing Fax Number | 2126623000 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2011-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N003147 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | GTTI | 0011123 | 01 |
| NY | 00582081 | 05 | |
| NY | OXFORD | NS3363 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225414931 | Simon Young | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2015-08-04 |
| 1891139283 | Simon William Young | Orthopaedic Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2013-04-29 |
| 1396028338 | Simon Young | Dentist | 6516 M D Anderson Blvd Ste 2.059, University of Texas Houston Dental School, Houston, TX 77030-3402 | 2011-09-26 |
| Street Address |
110 W 96TH ST STE 1A |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-6413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043584345 | Jenise Charlene Parris | Acupuncturist | 110 W 96th St, Suite 14 B, New York, NY 10025-6413 | 2012-03-04 |
| 1750542783 | Sarah Masoodsinaki | Psychiatry & Neurology | 110 W 96th St, Apt 1b, New York, NY 10025-6412 | 2008-06-23 |
| 1942210703 | Simon Young Dpm PC | Podiatrist | 110 W 96th St, Suite #1a, New York, NY 10025-6413 | 2006-08-08 |
| 1770534430 | Clarence Lee Chen | Psychiatry & Neurology | 110 W 96th St, Suite 1d, New York, NY 10025-6413 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518455641 | Kenneth R. Meisler Dpm Pllc | Podiatrist | 210 E 86th St Rm 402, New York, NY 10028-7726 | 2018-04-24 |
| 1912494436 | Rock Cjay Positano | Podiatrist | 519 E 72nd St Ste 203a, New York, NY 10021 | 2018-04-19 |
| 1285137430 | Midtown East Podiatry and Foot Surgery L.L.C. | Podiatrist | 230 E 48th St., #1b, New York, NY 10017 | 2018-03-14 |
| 1093250441 | Gotham Footcare | Podiatrist | 28 West 44th Suite 209, New York, NY 10036 | 2016-12-21 |
| 1477921328 | Cesare Gaspari | Podiatrist | 235 E 22nd St Unit 1ef, New York, NY 10010-4616 | 2015-09-09 |
| 1851772545 | Hima Patel | Podiatrist | 630 3rd Ave Rm 601, New York, NY 10017 | 2015-06-18 |
| 1295114536 | Inwood Diagnostic and Treatment Center,inc | Podiatrist | 47 Sickles St Ofc 1a, New York, NY 10040-1604 | 2015-05-19 |
| 1467851790 | Step Up Surgical Podiatry, Pllc | Podiatrist | 291 Broadway Rm 810, New York, NY 10007-1912 | 2014-08-22 |
| 1245594225 | Tamir Danilov | Podiatrist | 150 Delancey St, Suite A, New York, NY 10002-3308 | 2012-06-25 |
| 1396011581 | Raphael Lilker | Podiatrist | 28 W 44th Street, Suite 209, New York, NY 10036 | 2012-04-01 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.