MEDICARE: VLADO SIMKO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	151571-1	NY

General Provider Information

NPI Number	:	1043225857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VLADO SIMKO M.D.

Provider Business Mailing Address
First Line	:	102 SIGNAL HILL RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-4421
Country	:	US
Telephone Number	:	718-836-6600
Fax Number	:	718-630-3778

Provider Business Practice Location Address
First Line	:	800 POLY PL
Second Line	:	MEDICAL SERVICE (111)
City	:	BROOKLYN
State	:	NY
Zip	:	11209-7104
Country	:	US
Telephone Number	:	718-630-3719
Fax Number	:	718-630-3778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	05/10/2026

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