XAVIER SHANICE SIMON (NPI# 1538785019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538785019 |
Entity Type | Individual |
Full Name | XAVIER SHANICE SIMON |
Practice Address |
163 W 125th St Fl 12 New York NY 10027-4436 |
Practice Telephone | 2129618700 |
Mailing Telephone | 2129618700 |
Enumeration Date | 2020-06-22 |
Last Update Date | 2020-06-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
163 W 125TH ST FL 12 |
City | NEW YORK |
State | NY |
Zip Code | 10027-4436 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548585771 | Delores Y Murray | Social Worker | 163 W 125th St Fl 12, New York, NY 10027-4436 | 2010-03-31 |
1871118695 | Stacey Renee Schadel Davis | Registered Nurse | 163 W 125th St Fl 12, New York, NY 10027-4436 | 2020-06-09 |
1295369239 | Marly Bien Aime | Registered Nurse | 163 W 125th St Fl 12, New York, NY 10027-4436 | 2020-02-28 |
1700441078 | Margo Ann-stacy Esbrand | Social Worker | 163 W 125th St Fl 12, New York, NY 10027-4436 | 2019-05-02 |
1699231050 | Rosemary Moore | Social Worker | 163 W 125th St Fl 12, New York, NY 10027-4436 | 2019-02-11 |
1861960759 | Yuly Elizabeth Thomas | Counselor | 163 W 125th St Fl 12, New York, NY 10027-4436 | 2018-11-08 |
1518442482 | Dwayne Maurice Jones | Nurse Practitioner | 163 W 125th St Fl 12, New York, NY 10027-4436 | 2018-09-26 |
1619494093 | Phyllis Craig-james | Registered Nurse | 163 W 125th St Fl 12, New York, NY 10027-4436 | 2017-08-25 |
1609253947 | Atiya Imaan Morgan | Social Worker | 163 W 125th St Fl 12, New York, NY 10027-4436 | 2015-05-06 |
1760873483 | Lucy Borges-smith | Social Worker | 163 W 125th St Fl 12, New York, NY 10027-4436 | 2015-02-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
1720691199 | Mohamad El Zein | Student in an Organized Health Care Education/Training Program | 281 West 132nd Street, App Nb 2, New York, NY 10027 | 2020-08-26 |
1194335893 | Cynthia Wiggins | Social Worker | 1255 Amsterdam Avenue, New York, NY 10027 | 2020-08-06 |
1497399877 | Dr. F Sanchez Dental Arts Pllc | Dentist | 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 | 2019-10-29 |
1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
1396216818 | Gissel Lopez | Licensed Practical Nurse | 119west 124th Street, New York, NY 10027 | 2018-12-10 |
1831660620 | Katherine Gonzalez | Licensed Practical Nurse | 119 121 W 124th Street, New York, NY 10027 | 2018-12-06 |
1003383456 | Ebony S Prescott | Specialist | 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027 | 2018-10-24 |
1619456589 | Arts of Optics Corp. | Optometrist | 200 W 125th St, New York, NY 10027 | 2018-08-10 |
1205355658 | Frederick Community Pharmacy Inc | Pharmacy | 2450 Frederick Douglas Blvd, New York, NY 10027 | 2017-09-18 |
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Taxonomy Code | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780003657 | Vindy Mena | Technician, Pathology | 675 3rd Ave, New York, NY 10017-5704 | 2014-04-08 |
1275821159 | Alana D'nai Edwards | Technician, Pathology | 311 W 35th St, New York, NY 10001-1701 | 2011-07-13 |
1407992159 | Veronica M. Perez | Technician, Pathology | 500 W 57th St, New York, NY 10019-2902 | 2007-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861019028 | Tina Nelan | Technician, Pathology | 208 Marys Ln, Southampton, NY 11968-5629 | 2020-07-02 |
1245746544 | William R Payne | Technician, Pathology | 12 New Hope Ter, Albany, NY 12204-1843 | 2017-12-21 |
1649798588 | Kela Neque Small | Technician, Pathology | Brooklyn Navy Yard, Building 292, 4th Floor, Suite 410, Brooklyn, NY 11215 | 2017-08-30 |
1124565023 | Frank Jurgens Jr. | Technician, Pathology | 4100 Foxwood Ln, Buffalo, NY 14221-7356 | 2017-01-30 |
1124564620 | Esdras Guillaume | Technician, Pathology | 18 Pine Street, New Rochelle, NY 10801 | 2017-01-09 |
1922559608 | Jadica Alexis Marrero | Technician, Pathology | 100 Einstein Loop Apt 23g, Bronx, NY 10475-4948 | 2016-10-18 |
1790239192 | Primitis Mobile Examiners | Technician, Pathology | 20 Stanley Pl, Yonkers, NY 10705-1165 | 2016-08-15 |
1881054146 | Karaine Hobbs | Technician, Pathology | 3014 Snyder Ave, Brooklyn, NY 11226-5184 | 2016-02-29 |
1932567179 | Thomas Ricci | Technician, Pathology | 360 Barlow Ave Apt 25a, Staten Island, NY 10308-1349 | 2016-02-02 |
1669846143 | Marsha Moona | Technician, Pathology | 1263 Fteley Ave, Bronx, NY 10472-2801 | 2015-11-19 |
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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.