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DR. SIMON STAUBER PSY.D
NPI 1528794864
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since July 28, 2022PECOS Enrolled
1278 60TH ST, BROOKLYN, NY 11219(718) 686-7600 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Jul 28, 2022 (2 updates tracked since 2022).

About Dr. Simon Stauber Psy.d NPPES

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

DR. SIMON STAUBER PSY.D (NPI 1528794864) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528794864
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SIMON STAUBERCredential: PSY.D
Location Address1278 60TH STBrooklyn, NY 11219-4929
Mailing Address1524 E 22nd StBrooklyn, NY 11210-5123 · (347) 372-4043
Phone(718) 686-7600
Sole ProprietorYes
Enumeration DateJuly 28, 2022
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1528794864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1278 60TH ST, Brooklyn, NY 11219
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Simon Stauber Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

BRURIA LEBOWITZ
Psychologist (Clinical)
1278 60TH ST
BROOKLYN, NY 11219
Kings County (718) 686-2098
DR. DAVID RUBIN D.O.
Family Medicine
1278 60TH ST
BROOKLYN, NY 11219
Kings County (718) 741-7100
ALIZA JALAS LMSW
Social Worker
1278 60TH ST
BROOKLYN, NY 11219
Kings County (718) 686-7600

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 Simon Stauber's NPI number?

The NPI number for Simon Stauber is 1528794864. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Simon Stauber located?

Simon Stauber practices at 1278 60th St, Brooklyn, NY 11219. The listed phone number is (718) 686-7600.

What is Simon Stauber's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Simon Stauber enrolled in Medicare?

Yes. Simon Stauber is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Simon Stauber was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.