# SIMEON CARVAJAL MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962686188
- **Authorized official:** DR. SIMEON CARVAJAL MD (PRESIDENT)
- **Authorized official phone:** (201) 262-9176

## Contact information

- **Practice address:** SIMEON CARVAJAL MD PC, BRONX LABANON HOSP. 1650 GRAND CONCOURSE, BRONX, NY 10457-0001
- **Practice address phone:** (718) 518-5550
- **Practice address fax:** (718) 518-5111
- **Mailing address:** 613 KINDERKAMACK RD, ORADELL, NJ 07649-1503
- **Mailing address phone:** (201) 262-9176
- **Mailing address fax:** (718) 518-5111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 1157921 | NY | Yes |

## Other

- **Enumeration date:** 12/24/2007
- **Last updated:** 12/24/2007