- Practice location
- 1065 Southern Boulevard, Medical Affairs, Bronx, NY 10459
- Phone
- 718-589-2440
- Fax
- 718-991-4516
- Last updated
- March 12, 2020
Tanasha Simela is a Dermatology based in Bronx, NY. Tanasha Simela practices in Bronx, NY and has the professional credentials of DO. The NPI Number for Tanasha Simela is 1538321997 and holds a License No. 25MB10158200 (NJ). The current practice location address for Tanasha Simela is 1065 Southern Boulevard, Medical Affairs, Bronx, NY 10459 and can be reached out via phone at 718-589-2440 and via fax at 718-991-4516.
Provider Profile Details
- NPI Number
- 1538321997
- Provider Name
- Tanasha Simela
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1065 Southern Boulevard, Medical Affairs, Bronx, NY 10459
- Phone Number
- 718-589-2440
- Fax Number
- 718-991-4516
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2008
- Last Update Date
- March 12, 2020
- Certification Date
- March 12, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1065 Southern Boulevard
Medical Affairs
Bronx, NY 10459 - City
- Bronx
- State
- New York
- Zip
- 10459
- Phone Number
- 718-589-2440
- Fax Number
- 718-991-4516
Provider Business Mailing Address Details
- Address
- 725 River RD Ste 32-114
Edgewater, NJ 07020-1171 - City
- Edgewater
- State
- NJ
- Zip
- 07020-1171
- Phone Number
- 844-433-7636
License Information
- License Number (1)
- 25MB10158200
- License State (1)
- NJ
- Taxonomy (1)
- Dermatology · 207N00000X
- License Number (2)
- 290569
- License State (2)
- NY
- Taxonomy (2)
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Tanasha Simela, DO?
The NPI number of Dr. Tanasha Simela, DO is 1538321997. It was assigned on June 26, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Tanasha Simela, DO?
Dr. Tanasha Simela, DO is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number 25MB10158200.
Where does Dr. Tanasha Simela, DO practice?
The practice location is 1065 Southern Boulevard, Medical Affairs, Bronx, NY 10459. The office can be reached at 718-589-2440 (phone) or 718-991-4516 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538321997 directly on the NPPES registry website.