Individual provider Active NPI

Gnana S Simon, MD

  • Anesthesiology Physician
  • Waterbury, CT
National Provider Identifier
1144519356
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA09894500 Issued in NJ
Practice address
64 Robbins St
Room #3304
Waterbury, CT 06708-2613
Phone
(203) 573-6574
Fax
(203) 573-6213
NPI assigned
Mar 29, 2011
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA09894500 NJ Primary

Addresses

Primary practice location

64 Robbins St
Room #3304
Waterbury, CT 06708-2613

Mailing address

185 Prospect Ave Apt 9N
Hackensack, NJ 07601-2226
Phone (646) 734-8299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20160815002677 NJ Practitioner - Anesthesiology 9335433259 Reassigns benefits to 7 organizations
I20190926003350 NY Practitioner - Anesthesiology 9335433259

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albany Medical College of Union University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay AnesthesiaGroup PAC ID 0446639306, 75 clinicians

Practice addresses (Care Compare)

561 Cranbury Rd
East Brunswick, NJ 08816-5400
Phone (201) 620-3010

619 River Dr
Elmwood Park, NJ 07407-1317
Phone (201) 703-2900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09894500NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Anesthesia LLC Anesthesiology CurrentSince Jun 20, 2024 Accepting new patients
Resolute Perioperative Services LLC Anesthesiology CurrentSince Feb 6, 2024 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Aug 1, 2016 Accepting new patients
Shrewsbury Ambulatory Anesthesia LLC Anesthesiology CurrentSince Mar 30, 2024 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Leonid Lamper MD PC Anesthesiology CurrentSince May 1, 2025 Accepting new patients
Rwjbh Observation Associates LLC Anesthesiology CurrentSince Oct 14, 2024 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients

Locations

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

619 River Dr
Elmwood Park, NJ 07407
Phone (201) 703-2900

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

22 Old Short Hills Rd
Ste 112
Livingston, NJ 07039
Phone (973) 294-6185

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

1280 Randolph Rd
Ste 301
Plainfield, NJ 07060
Phone (626) 532-5879

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

336 Woodstown Rd
Salem, NJ 08079
Phone (856) 339-4220

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

18 Mule Rd
Toms River, NJ 08755
Phone (201) 703-2900

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

375 Mount Pleasant Ave
West Orange, NJ 07052
Phone (973) 322-6900

475 Prospect Ave
Spc Surg
West Orange, NJ 07052
Phone (973) 325-6716

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 8

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1144519356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PROSPECT AVE APT 9N",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012226",
            "telephone_number": "646-734-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "address_2": "ROOM #3304",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082613",
            "telephone_number": "203-573-6574",
            "fax_number": "203-573-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "GNANA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA09894500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.