Individual provider Active NPI

Daniel W Simon, M.D.

  • Vascular & Interventional Radiology Physician
  • New Brunswick, NJ
National Provider Identifier
1013997428
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MAO73422 Issued in NJ
Practice address
317 George St
Suite 415
New Brunswick, NJ 08901-2008
Phone
(917) 716-1567
NPI assigned
Jan 20, 2006
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA07342200 NJ
Vascular & Interventional Radiology Physician 2085R0204X MAO73422 NJ Primary
Vascular & Interventional Radiology Physician 2085R0204X 194240 NY

Addresses

Primary practice location

317 George St
Suite 415
New Brunswick, NJ 08901-2008

Mailing address

63 Maple Ave
Morristown, NJ 07960-5219
Phone (917) 716-1567

Other identifiers 1

IdentifierTypeStateIssuer
3402606MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050103000284 NJ Practitioner - Interventional Radiology 8123086527 Reassigns benefits to 3 organizations
I20160328000847 DC Practitioner - Interventional Radiology 8123086527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Health LLCGroup PAC ID 5395078000, 11 clinicians

Practice addresses (Care Compare)

299 Cherry Hill Rd
Suite 104
Parsippany, NJ 07054-1124
Phone (732) 952-5353

77 Schanck Rd
Suite B 3
Freehold, NJ 07728-2989
Phone (732) 952-5353

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07342200NJMDDiagnostic Radiology Physician
MAO73422NJMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Health LLC CurrentSince Apr 1, 2021 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jul 30, 2017 Accepting new patients
Pulse Vascular, LLC Vascular & Interventional Radiology CurrentSince Apr 1, 2021 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jul 30, 2017 Accepting new patients
MDR Diagnostics LLC CurrentSince Sep 21, 2017 Accepting new patients
Maryland Cardiology Associates, LLC CurrentSince Jan 26, 2016 Accepting new patients
Prine Health Medical Group, PLLC Past Accepting new patients
Radiology Associates of Ridgewood P a Past Accepting new patients
Vascular Corrections PC Past Accepting new patients
Vascular Access Center of Trenton LLC Vascular & Interventional Radiology PastSince Feb 1, 2017 Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1100
Greenbelt, MD 20770
Phone 3014413050138

7715 Belle Point Dr
Greenbelt, MD 20770
Phone (301) 220-1790

1450 Mercantile Ln
Ste 151
Uppr Marlboro, MD 20774
Phone (301) 322-8014

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

77 Schanck Rd
Ste B-3
Freehold, NJ 07728
Phone (732) 462-9800

317 George St
Ste 415
New Brunswick, NJ 08901
Phone (732) 853-0305

299 Cherry Hill Rd
Ste 104
Parsippany, NJ 07054
Phone (732) 952-5353

38 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 866-5151

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

Interoperability endpoints

  • Direct secure messaging: danielsimon@vascularhealth.md.direct-ci.com
  • Direct secure messaging: dsimo000@vascmgmt.md.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1013997428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MAPLE AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605219",
            "telephone_number": "917-716-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 GEORGE ST",
            "address_2": "SUITE 415",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012008",
            "telephone_number": "917-716-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "DANIEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07342200",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "MAO73422",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "194240",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3402606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.