DR. JESSICA SIMON


Address: Health Science Tower Level 19 Rm 030, Stony Brook, NY 11794-8191
Phone: 6314441791

DR. JESSICA SIMON (NPI# 1447645908) 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) 1447645908
Entity Type Individual
Full Name DR. JESSICA SIMON
Credential MD
Practice Address Health Science Tower Level 19 Rm 030
Stony Brook
NY 11794-8191
Mailing Address 1945 Glenn Rd
Southold
NY 11971-3321
Practice Telephone 6314441791
Mailing Telephone 6318753737
Enumeration Date 2015-04-01
Last Update Date 2015-04-01
Gender Code F
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 JESSICA SIMON

NPI Name Taxonomy Address Enumeration
1538721246 Jessica Marie Simon Nurse Practitioner 3613 Trice Ave, Waco, TX 76707-1127 2019-07-02
1215323126 Jessica Simon Registered Nurse 1863 David Ave, Parma, OH 44134-6818 2015-04-08
1659651099 Jessica Simon Specialist 59 One Mile Rd Ext Ste G, East Windsor, NJ 08520-2505 2011-08-17
1790785285 Jessica A Simon Optometrist 3330 Kent Rd, Stow, OH 44224-4537 2005-07-26
1215570429 Jessica Simon Case Manager/Care Coordinator 250 S Henry St, Delaware, OH 43015-2978 2019-10-21
1629621297 Jessica Simon Specialist/Technologist, Other 31330 Schoolcraft Rd Ste 200, Livonia, MI 48150-2042 2019-07-22
1659832558 Jessica Simon Behavior Technician 10300 Sw 72nd St Ste 114, Miami, FL 33173-3038 2019-03-26
1891232245 Jessica Moore Simon Psychologist 4424 Montgomery Ave, Suite 201, Bethesda, MD 20814-4409 2017-01-24
1710339395 Jessica Simon Registered Nurse 812 E Jolly Rd, Lansing, MI 48910-6818 2016-07-07
1689041311 Jessica M Simon Student in an Organized Health Care Education/Training Program 1011 Bingham St, Pittsburgh, PA 15203-1101 2015-08-28

Office Location

Street Address HEALTH SCIENCE TOWER LEVEL 19 RM 030
City STONY BROOK
State NY
Zip Code 11794-8191

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194256628 Julia Lily Brothers Student in an Organized Health Care Education/Training Program Health Science Tower Level 19 Rm 030, Department of Surgery, Stony Brook, NY 11794-8191 2017-03-26
1447708235 Panagiotis Drakos Student in an Organized Health Care Education/Training Program Health Science Tower Level 19 Rm 030, Stony Brook, NY 11794-8191 2016-09-21
1710368659 Georgios Tzavellas Student in an Organized Health Care Education/Training Program Health Science Tower Level 19 Rm 030, Stony Brook, NY 11794-8191 2015-06-16

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

Improve Information

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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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