DR. SIMION ZELICOF (NPI# 1982700233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982700233 |
| Entity Type | Individual |
| Full Name | DR. SIMION ZELICOF |
| Credential | M.D. |
| Practice Address |
179--00 Linden Blvd Jamaica NY 11425 |
| Mailing Address |
316 E 70th St Apt 8g New York NY 10021 |
| Practice Telephone | 7185261000 |
| Practice Fax Number | 7182988436 |
| Mailing Telephone | 2125853565 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 095623 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE NUMBER | 095623 | 01 |
| Street Address |
179--00 LINDEN BLVD |
| City | JAMAICA |
| State | NY |
| Zip Code | 11425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982148094 | Michael Shepherd | Social Worker | 179-00 Linden Blvd. Bldg 91 Rm E241, St. Albans E.c.c./dept. of Va, St. Albans, NY 11425 | 2016-12-08 |
| 1629307905 | Mary E Koyl | Social Worker | 179th St and Linden Blvd, St Albans, NY 11425 | 2009-12-15 |
| 1730339805 | Ashleigh Pegg | Contractor | 179th St & Linden Blvd, St. Albans, NY 11425 | 2008-09-25 |
| 1083875470 | Sylvia Myers | Registered Nurse | 179 St. Linden Bivd., St. Albans, NY 11425 | 2008-06-19 |
| 1801074364 | Georgia Mae Dingle | Rehabilitation Counselor | 179 Street Linden Blvd, St. Albans, NY 11425 | 2008-02-07 |
| 1265584114 | Juanita Delgado | Occupational Therapy Assistant | 179 St. Linden Blvd., St.albans, NY 11425 | 2007-01-18 |
| 1063506509 | Phyllis A Filgate | Dietitian, Registered | 179th Street & Linden Blvd, St. Albans, NY 11425 | 2006-10-02 |
| 1801823034 | Elizabeth Anne Cancellara | Social Worker | 179th Street Linden Blvd, St. Albans, NY 11425 | 2006-06-26 |
| 1366491037 | Sonsare Gurley | Physician Assistant | 179-01 Linden Blvd, Ny, NY 11425 | 2006-05-09 |
| 1003874751 | Elizabeth Valente | Audiologist | 179 Th St. and Linden Blvd.- Audiology, St. Albans, NY 11425 | 2006-05-03 |
| Find all providers in zip 11425 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942576095 | Rebecca L Tamez | Dermatology | 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | 2012-03-22 |
| 1982779757 | Ernest Ast | Dermatology | 8268 164th St, Jamaica, NY 11432-1121 | 2006-11-21 |
| 1821045485 | Jhmc Diagnostic and Treatment Center | Dermatology | 11120 Merrick Blvd, Jamaica, NY 11433-4016 | 2006-05-28 |
| 1376590265 | Beatriz Mendez | Dermatology | 18005 Hillside Ave, Jamaica, NY 11432 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636384 | Markowitz Medical Pllc | Dermatology | 1150 5th Ave # Suire1a, New York, NY 10128-0724 | 2020-10-12 |
| 1114545985 | Tarek Yamany Md Pllc | Dermatology | 229 W 60th St Apt 8e, New York, NY 10023-7507 | 2020-07-08 |
| 1952924839 | Elizabeth Jessica Ranelli | Dermatology | 16 W 17th St, New York, NY 10011-5738 | 2020-05-26 |
| 1841811148 | Stuart Daniel Shanler | Dermatology | 53 Underhill Dr, Pomona, NY 10970-2668 | 2020-04-28 |
| 1740800309 | Ns Arora Dermatology Pllc | Dermatology | 99 Jericho Tpke Ste 110, Jericho, NY 11753-1015 | 2020-04-23 |
| 1174163406 | Halite Services Crop | Dermatology | 447 Rose Ln, Rockville Centre, NY 11570-1429 | 2020-01-15 |
| 1235776485 | Libby Rhee Do Dermatology Pllc | Dermatology | 110 E 60th St # 800, New York, NY 10022-1688 | 2019-12-06 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1568018588 | Mary Matina Valinotti | Dermatology | 332 E Main St Ste 1, Bay Shore, NY 11706-8436 | 2019-08-15 |
| 1831751379 | Jessica Weiser, M.d., Pllc | Dermatology | 155 Spring St Fl 5, New York, NY 10012-5208 | 2019-07-05 |
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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.