DR. SIMON JOHN TSIOURIS (NPI# 1114085040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114085040 |
| Entity Type | Individual |
| Full Name | DR. SIMON JOHN TSIOURIS |
| Credential | M.D. |
| Practice Address |
947 Linwood Ave Suite 2e Ridgewood NJ 07450-2939 |
| Practice Telephone | 2014476468 |
| Mailing Telephone | 2014476468 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2013-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
25MA09223900 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
216282 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02587819 | 05 |
| Street Address |
947 LINWOOD AVE SUITE 2E |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649259037 | Gary Glenn Knackmuhs | Internal Medicine | 947 Linwood Ave, Suite 2e, Ridgewood, NJ 07450-2939 | 2006-01-13 |
| 1851733356 | Amy Lynn Hall | Nurse Practitioner | 947 Linwood Ave, 2nd Floor, Ridgewood, NJ 07450-2939 | 2013-07-24 |
| 1265749964 | Amesur Eye Associates, P.a. | Ophthalmology | 947 Linwood Ave, Suite 2 South, Ridgewood, NJ 07450-2939 | 2010-09-02 |
| 1952545162 | Esther Jeehae Lee | Internal Medicine | 947 Linwood Ave, Ridgewood, NJ 07450-2939 | 2009-05-01 |
| 1912065442 | Adam Scott Kelman | Internal Medicine | 947 Linwood Ave, Suite 1w, Ridgewood, NJ 07450-2939 | 2006-12-05 |
| 1104900778 | Kiran Bhagwan Amesur | Ophthalmology | 947 Linwood Ave, Suite 2 South, Ridgewood, NJ 07450-2939 | 2006-10-24 |
| 1710966064 | Carol Ann O'hagan Sotsky | Internal Medicine | 947 Linwood Ave, Suite 2e, Ridgewood, NJ 07450-2939 | 2006-01-14 |
| 1649259045 | Neil Gaffin | Internal Medicine | 947 Linwood Ave, Suite 2e, Ridgewood, NJ 07450-2939 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1134626815 | Hackensack Infectious Disease Associates, LLC | Internal Medicine | 311 S Irving St, Ridgewood, NJ 07450-5101 | 2018-04-10 |
| 1003171299 | John Franklyn Riefler IIi | Internal Medicine | 423 Colwell Ct, Ridgewood, NJ 07450-1407 | 2012-07-12 |
| 1942509625 | Lucy Cheng | Internal Medicine | 947 Linwood Ave Ste 2e, Ridgewood, NJ 07450 | 2011-03-21 |
| 1316027105 | Tosca Elana Kinchelow | Internal Medicine | 471 E Saddle River Rd, Ridgewood, NJ 07450-2019 | 2006-10-16 |
| 1013974971 | Deborah E Rudin | Internal Medicine | 141 Dayton St, Ridgewood, NJ 07450-4496 | 2006-04-26 |
| 1649259037 | Gary Glenn Knackmuhs | Internal Medicine | 947 Linwood Ave, Suite 2e, Ridgewood, NJ 07450-2939 | 2006-01-13 |
| 1710966064 | Carol Ann O'hagan Sotsky | Internal Medicine | 947 Linwood Ave, Suite 2e, Ridgewood, NJ 07450-2939 | 2006-01-14 |
| 1649259045 | Neil Gaffin | Internal Medicine | 947 Linwood Ave, Suite 2e, Ridgewood, NJ 07450-2939 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588224018 | Bergen Infectious Diseases Associates Inc | Internal Medicine | 185 Cedar Ln Ste U8, Teaneck, NJ 07666-4303 | 2019-06-17 |
| 1326604943 | Malik Medical Associates Usa Inc | Internal Medicine | 377 Jersey Ave Ste No410, Jersey City, NJ 07302-4393 | 2019-05-20 |
| 1285146845 | Dr Pooja P Shah Mdpc Inc | Internal Medicine | 1964 Oak Tree Rd Ste B, Edison, NJ 08820-2016 | 2017-11-03 |
| 1740704931 | Divine Care LLC | Internal Medicine | 37 Van Zandt Rd, Skillman, NJ 08558-2100 | 2017-07-28 |
| 1073922324 | Ahmed Abdul Azim | Internal Medicine | 125 Paterson St, Meb 362, New Brunswick, NJ 08901-1962 | 2014-08-11 |
| 1437566205 | Uchenna Okereke | Internal Medicine | 93 Clerk St, Jersey City, NJ 07305-4323 | 2014-07-14 |
| 1487069167 | Mark Dinubile | Internal Medicine | 505 Bartram Rd, Moorestown, NJ 08057-1833 | 2014-06-21 |
| 1275964371 | Anand Athavale | Internal Medicine | 127 Old Short Hills Rd, Apt 236, West Orange, NJ 07052-1014 | 2013-11-28 |
| 1003158247 | Joseph L Derose | Internal Medicine | 151 Fries Mill Rd Ste 102, Turnersville, NJ 08012-2056 | 2013-03-26 |
| 1124360086 | Maria Regina Alivisatos | Internal Medicine | 389 Terhune Rd, Princeton, NJ 08540-3637 | 2013-03-19 |
| Find all providers with the same taxonomy | ||||
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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.