DR. SIMEON CARVAJAL MD
NPI 1124197157
Specialist in Bronx, NY

Active since November 06, 2006
1650 GRAND CONCOURSE, BRONX, NY 10457(718) 518-5550(718) 838-1010 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Simeon Carvajal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIMEON CARVAJAL MD (NPI 1124197157) is an individual specialist in Bronx, New York, licensed in New York (115792) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1124197157
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. SIMEON CARVAJALCredential: MD
Location Address1650 GRAND CONCOURSEBronx, NY 10457-7606
Mailing Address613 Kinderkamack RdOradell, NJ 07649-1503 · (718) 518-5550 · Fax (718) 838-1010
Fax(718) 838-1010
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1124197157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 115792
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1650 GRAND CONCOURSE, Bronx, NY 10457

Other Identifiers 3

Medicare UPINB16582NY
Medicaid00214186NY
Medicare ID-Type Unspecified565361NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1650 GRAND CONCOURSE
BRONX, NY 10457
Clinic/Center
1650 GRAND CONCOURSE
BRONX, NY 10457
Emergency Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine (Gastroenterology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simeon Carvajal's NPI number?

The NPI number for Simeon Carvajal is 1124197157. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Simeon Carvajal located?

Simeon Carvajal practices at 1650 Grand Concourse, Bronx, NY 10457. The listed phone number is (718) 518-5550.

What is Simeon Carvajal's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Simeon Carvajal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.