MICHAEL SIMON


Address: South Drive School of Dental Medicine, Stony Brook, NY 11794-0001
Phone: 6316323161

MICHAEL SIMON (NPI# 1891253068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891253068
Entity Type Individual
Full Name MICHAEL SIMON
Practice Address South Drive School of Dental Medicine
Stony Brook
NY 11794-0001
Mailing Address 176 Stone Schoolhouse Rd
Bloomingburg
NY 12721-3001
Practice Telephone 6316323161
Practice Fax Number 6316323961
Mailing Telephone 8457334400
Enumeration Date 2019-03-06
Last Update Date 2019-03-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers MICHAEL SIMON

NPI Name Taxonomy Address Enumeration
1568589109 Michael Lawrence Simon Massage Therapist 19523 100th Ave Ne, Bothell, WA 98011-2317 2007-03-26
1740204544 Michael Johm Simon Counselor 1473 Rose Ln, East Meadow, NY 11554-3618 2006-07-26
1699256420 Michael Gerard Simon Physical Therapist 114 Hayes Mill Rd, Atco, NJ 08004-2457 2018-08-29
1205333879 Michael Simon Student in an Organized Health Care Education/Training Program 1000 Montauk Hwy, West Islip, NY 11795-4927 2018-04-10
1568993194 Michael Simon Student in an Organized Health Care Education/Training Program 94 Old Short Hills Rd, Livingston, NJ 07039-5672 2017-03-24
1366896912 Michael Simon Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2016-04-20
1831571348 Michael Simon Rehabilitation Practitioner 570 W Cheyenne Ave Ste 10, North Las Vegas, NV 89030-3931 2015-06-19
1710386685 Michael Y. Simon Marriage & Family Therapist 5665 College Ave, Suite 340c, Oakland, CA 94618-1625 2014-08-17
1922419787 Michael Simon Behavioral Analyst 1469 Johnston Willis Dr, North Chesterfield, VA 23235-4730 2014-05-15
1316204969 Michael Alexander Simon Chiropractor 673 Morganza Rd, Canonsburg, PA 15317-5715 2012-04-20

Office Location

Street Address SOUTH DRIVE SCHOOL OF DENTAL MEDICINE
City STONY BROOK
State NY
Zip Code 11794-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619506714 Ryan John Kottmeier Physician Assistant 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 2020-04-02
1699302109 Michael Trentalange Student in an Organized Health Care Education/Training Program Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 2020-03-25
1164985156 Lauren Kate Harris Student in an Organized Health Care Education/Training Program Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 2019-04-08
1851851448 Kathy Tin Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 2019-03-21
1174083703 Arham Khan Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 2019-03-20
1396221982 Aman Bhojani Student in an Organized Health Care Education/Training Program Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 2018-07-17
1699265629 Belliny Phaeton Student in an Organized Health Care Education/Training Program Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-15
1629568969 Rachel Herold Student in an Organized Health Care Education/Training Program Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-11
1598254419 Nora Ann Diraimondo Nurse Practitioner Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 2018-05-07
1386140705 Ryan Christopher Corn Student in an Organized Health Care Education/Training Program Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 2018-04-04
Find all providers in zip 11794

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417563081 Stephen Quiery Student in an Organized Health Care Education/Training Program 24 Old Wood Rd, Stony Brook, NY 11790-1028 2020-09-19
1073133443 Katherine Anne De Jesus Student in an Organized Health Care Education/Training Program 101 Nicholls Road Level 1, Stony Brook, NY 11794-7007 2020-04-25
1174142459 Valerie Elyse Spano Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, School of Dental Medic, 151 Westchester Hall, Stony Brook, NY 11794-8711 2020-04-16
1598384190 Bryce Charles Schroeder Student in an Organized Health Care Education/Training Program Stony Brook University Hospital Hsc Level 4, Room 176, Stony Brook, NY 11794-0001 2020-04-13
1689293722 Pallavi Tatapudy Student in an Organized Health Care Education/Training Program Suny-stony Brook Health Science Ctr/t-10 020, Stony Brook, NY 11794-8101 2020-04-09
1821627597 Justice Uzoma Achonu Student in an Organized Health Care Education/Training Program Stony Brook Medicine Hsc T-18 - 089, Stony Brook, NY 11794-8181 2020-04-05
1588293682 Jaymie Eureko Oentoro Student in an Organized Health Care Education/Training Program 101 Nicolis Road, Stony Brook University Hospital, Department of Patholog, Stony Brook, NY 11794-7025 2020-04-02
1366071482 Shantel Apeseche Student in an Organized Health Care Education/Training Program 101 Nicholls Road Hsc Level 11 Room 040, Stony Brook, NY 11794-0001 2020-04-02
1811526973 Prerna Khetan Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Nichols Road, Department of Pathology, Level 2- 749, Stony Brook, NY 11794-7025 2020-04-02
1962030056 Eddy B Sun Student in an Organized Health Care Education/Training Program Dept of Internal Medicine Hsc16-020, Stony Brook, NY 11794-0001 2020-04-01
Find all providers in STONY BROOK

Competitor

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City STONY BROOK
Zip Code 11794

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Dataset Information

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.

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