Individual provider Active NPI

Jeremy Ian Simon, MD

  • Physical Medicine & Rehabilitation Physician
  • Bryn Mawr, PA
National Provider Identifier
1073538971
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD427039 Issued in PA
Practice address
825 Old Lancaster Rd Ste 100
Bryn Mawr, PA 19010-3234
Phone
(800) 321-9999
Fax
(267) 479-1321
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD427039 PA Primary
Physical Medicine & Rehabilitation Physician 208100000X 290802 NY
Physical Medicine & Rehabilitation Physician 208100000X D65463 MD
Physical Medicine & Rehabilitation Physician 208100000X 25MA09061400 NJ

Addresses

Primary practice location

825 Old Lancaster Rd Ste 100
Bryn Mawr, PA 19010-3234

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (800) 321-9999

Other practice location 1

243 Hurffville Crosskeys Rd
Sewell, NJ 08080-4011
Phone (800) 321-9999

Other practice location 2

300 W Route 38
Moorestown, NJ 08057-3424
Phone (609) 267-9400

Other practice location 3

600 Evergreen Dr Ste 201
Glen Mills, PA 19342-1053
Phone (800) 321-9999

Other identifiers 1

IdentifierTypeStateIssuer
3317718000OtherPAIBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20060210000543 PA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 1355356486 Reassigns benefits to 1 organization
I20121116000366 NJ Practitioner - Physical Medicine and Rehabilitation 1355356486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500

999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09061400NJMDPhysical Medicine & Rehabilitation Physician
290802NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA Physical Medicine & Rehabilitation CurrentSince Dec 24, 2023 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Jan 1, 2008 Accepting new patients
Reconstructive Orthopaedic Associates II LLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2008 Accepting new patients
Virtua Medical Group, PA CurrentSince Dec 24, 2023 Accepting new patients
Physical Medicine & Pain Management Associates, P.C. Pain Medicine Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

2500 English Creek Ave
Ste 1300
Egg Hbr Twp, NJ 08234
Phone (609) 677-6060

999 Route 73 N
Ste 401
Marlton, NJ 08053

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

300 W Route 38
Moorestown, NJ 08057
Phone 60926794001224

327 Greentree Rd
Sewell, NJ 08080
Phone (856) 286-4224

3300 Tillman Dr
Fl 2
Bensalem, PA 19020
Phone (215) 637-1800

825 Old Lancaster Rd
Ste 100
Bryn Mawr, PA 19010

600 Evergreen Dr
Ste 201
Glen Mills, PA 19342
Phone (484) 818-2225

1118 W Baltimore Pike
Fl 3
Media, PA 19063
Phone (610) 480-6000

1118 W Baltimore Pike
Ste 302
Media, PA 19063
Phone (610) 480-6040

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

833 Chestnut St
Ste 1402
Philadelphia, PA 19107
Phone (267) 339-3543

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

400 Enterprise Dr
Fl 2
Royersford, PA 19468
Phone (267) 335-3558

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1073538971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "800-321-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD STE 100",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103234",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Hurffville Crosskeys Rd",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804011",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W Route 38",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573424",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Evergreen Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421053",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "fax_number": "267-479-1321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JEREMY",
        "middle_name": "IAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD427039",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "290802",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D65463",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA09061400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "3317718000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.