Provider Demographics
NPI:1548299449
Name:SIMCKES, ARI MENACHEM (MD)
Entity type:Individual
Prefix:DR
First Name:ARI
Middle Name:MENACHEM
Last Name:SIMCKES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:24050 COMMERCE PARK STE 100
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5831
Mailing Address - Country:US
Mailing Address - Phone:216-896-9301
Mailing Address - Fax:216-896-9302
Practice Address - Street 1:728 N MAIN ST
Practice Address - Street 2:REFUAH HEALTH CENTER
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1960
Practice Address - Country:US
Practice Address - Phone:845-354-9300
Practice Address - Fax:845-354-9448
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2021-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY180413208000000X, 2080P0210X
FLME120471207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01421705Medicaid
NY01421705Medicaid