DR. SIMON DANIEL SPIVACK (NPI# 1366438475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366438475 |
| Entity Type | Individual |
| Full Name | DR. SIMON DANIEL SPIVACK |
| Credential | M.D. |
| Practice Address |
1300 Morris Park Ave Pulmonary Medicine Bronx NY 10461-1900 |
| Practice Telephone | 7184302591 |
| Practice Fax Number | 7184308563 |
| Mailing Telephone | 7184302591 |
| Mailing Fax Number | 7184308563 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2007-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
189782-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
189782-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01269763 | 05 |
| Street Address |
1300 MORRIS PARK AVE PULMONARY MEDICINE |
| City | BRONX |
| State | NY |
| Zip Code | 10461-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487281457 | Elise Venetia Mike | Student in an Organized Health Care Education/Training Program | 1300 Morris Park Ave, Bronx, NY 10461-1975 | 2020-03-26 |
| 1427685064 | Giulia Daneshgaran | Student in an Organized Health Care Education/Training Program | 1300 Morris Park Ave, Bronx, NY 10461-1975 | 2020-03-24 |
| 1609403484 | Farid Karim Tadros | Student in an Organized Health Care Education/Training Program | 1300 Morris Park Ave, Bronx, NY 10461-1900 | 2020-03-24 |
| 1326674680 | Matthew Salvatore Demasi | Student in an Organized Health Care Education/Training Program | 1300 Morris Park Ave, Bronx, NY 10461-1975 | 2020-03-19 |
| 1053946129 | Xavier Quezada | Student in an Organized Health Care Education/Training Program | 1300 Morris Park Ave, Bronx, NY 10461-1975 | 2020-03-09 |
| 1164057444 | Sadia Tahsin Ahmed | Student in an Organized Health Care Education/Training Program | 1300 Morris Park Ave, Bronx, NY 10461-1975 | 2020-03-07 |
| 1720584741 | Ali Zahalka | Student in an Organized Health Care Education/Training Program | 1300 Morris Park Ave, Bronx, NY 10461-1900 | 2018-03-30 |
| 1922530336 | Ethan Kyle Sobol | Student in an Organized Health Care Education/Training Program | 1300 Morris Park Ave, Bronx, NY 10461-1900 | 2017-04-03 |
| 1760844070 | Catherine Murray Igel | Obstetrics & Gynecology | 1300 Morris Park Ave, Bronx, NY 10461-1900 | 2016-03-25 |
| 1225443344 | Stephen W Li | Obstetrics & Gynecology | 1300 Morris Park Ave, Belfer Educational Center, Room 501, Bronx, NY 10461 | 2014-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588844617 | First Avenue Medical P C | Internal Medicine | 486 E Tremont Ave, Bronx, NY 10457-4437 | 2007-11-06 |
| 1619179553 | Neomi Shah | Internal Medicine | 111 East 210th St. Montefiore Medical Center, Pulmonary Division Cent 3, Dept. of Medicine, Bronx, NY 10467 | 2007-06-04 |
| 1952338188 | Harvey Eisenberg | Internal Medicine | 1309 Fulton Ave., 1st Floor, Bronx, NY 10456 | 2006-06-26 |
| 1134163249 | Ernesto Sy | Internal Medicine | 1770 Grand Concourse #2g, 1650 Grand Concourse, Bronx, NY 10457 | 2006-06-16 |
| 1295784445 | Mohammad Basit | Internal Medicine | 2951 Grand Concourse, Bronx, NY 10468-1431 | 2006-05-08 |
| 1720046063 | Westchester Pulmonary Medicine PC | Internal Medicine | 1800 Haight Avenue, Bronx, NY 10461 | 2006-05-03 |
| 1518946714 | Premanath Banad | Internal Medicine | 386 Bedford Park Blvd, Bronx, NY 10458-2415 | 2006-01-16 |
| 1770589111 | Samuel A. Deleon | Internal Medicine | 1070 Southern Blvd, Bronx, NY 10459-3268 | 2005-06-21 |
| 1396166500 | Vail Healthcare Network | Internal Medicine | 1070 Southern Blvd, Bronx, NY 10459-3268 | 2013-12-16 |
| 1376806380 | Multimedic Medical Services Pllc | Internal Medicine | 1070 Southern Blvd, Bronx, NY 10459-3268 | 2012-06-25 |
| Find all providers in BRONX | ||||
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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.