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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DIVINE HUBERT SIMON
NPI 1205742095
Peer Specialist in East Elmhurst, NY

Active since August 20, 2026
10030 DITMARS BLVD, EAST ELMHURST, NY 11369(929) 899-6706 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Divine Hubert Simon NPPES

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

DIVINE HUBERT SIMON (NPI 1205742095) is an individual peer specialist in East Elmhurst, New York, licensed in New York (NYCPS-P-35993) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1205742095
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDIVINE HUBERT SIMON
Location Address10030 DITMARS BLVDEast Elmhurst, NY 11369-1333
Mailing Address3665 Bertha DrBaldwin, NY 11510-5035
Phone(929) 899-6706
Sole ProprietorYes
Enumeration DateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1205742095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in NY · NYCPS-P-35993
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
10030 DITMARS BLVD, East Elmhurst, NY 11369
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

FOLARIN O EGUNJOBI
Occupational Therapist
10030 DITMARS BLVD
EAST ELMHURST, NY 11369
Queens County (646) 294-8324
DANIELLE RATTO
Case Manager/Care Coordinator
10030 DITMARS BLVD
EAST ELMHURST, NY 11369
Queens County (718) 898-6471
AUDREY LAMAR
Peer Specialist
10030 DITMARS BLVD
FLUSHING, NY 11369
Queens County (718) 898-6471
GIANNINI ETIENNE
Case Manager/Care Coordinator
10030 DITMARS BLVD
FLUSHING, NY 11369
Queens County (718) 898-6471

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 Divine Simon's NPI number?

The NPI number for Divine Simon is 1205742095. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Where is Divine Simon located?

Divine Simon practices at 10030 Ditmars Blvd, East Elmhurst, NY 11369. The listed phone number is (929) 899-6706.

What is Divine Simon's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Divine Simon was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.