Paul A. Simons, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

14133 Issued in NJ

Practice address

776 Grove Rd
West Deptford, NJ 08086

Phone

(856) 848-2211

Fax

(856) 848-8630

NPI assigned

Jul 20, 2006

Last updated

Oct 2, 2014By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stuart a Wasserlauf DDS PA

  • Dentist
  • West Deptford, NJ
  • NPI 1881735702
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1134149149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 GROVE RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08086",
            "telephone_number": "856-848-2211",
            "fax_number": "856-848-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 GROVE RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08086",
            "telephone_number": "856-848-2211",
            "fax_number": "856-848-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "PAUL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "14133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2293404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Sheehan, PT
• Kelly Shope, MA,LPC
• Miranda L Short, LPC
• Jamie M Sikora, APN
• David Michael Sileo, RN MS ACNP-BC
• Bradley J Smith, MD
• SNJ Recovery Center LLC
• Christoph N Spanos, BA, MA, PSYD
• Michael Anthony Sparich, MS OTR/L
• Alyson McKay Stahler

• Pediatric Dentistry in West Deptford, NJ
• Providers in West Deptford, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.