Jane Simon, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD103375 Issued in NY

Practice address

145 Central Park West
Apt 1a
New York, NY 10023-6296

Phone

(212) 877-3566

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 3, 2019 through Aug 3, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Blanton-Peale Institute

  • Mental Health Counselor
  • New York City, NY
  • NPI 1225195787
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124182829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CENTRAL PARK WEST",
            "address_2": "APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236296",
            "telephone_number": "212-877-3566",
            "fax_number": "212-877-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CENTRAL PARK WEST",
            "address_2": "APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236296",
            "telephone_number": "212-877-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "MD103375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244720",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Simon
• Erika Chante Simon, NP
• Gregory W Simon, MD
• Hannah Simon, MD
• Jacqueline Lisa Simon, PSY.D.
• Jean Pascal Simon, MD
• Jena Marie Simon, DNP
• Jessica Simon, MD
• Jonathan M Simon
• Jordan Simon

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.