Raffaele Charles Simone, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

25MP00955700 Issued in NJ

Practice address

146 N State RT 17 Ste 2
Hackensack, NJ 07601-1071

Phone

(732) 906-9600

Fax

(833) 974-2196

NPI assigned

Jul 8, 2025

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

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118
• Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rafelle.simone.1@21449.direct.athenahealth.com
• Direct secure messaging: raffaele.simone.1@21449.direct.athenahealth.com

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.

• Premier Brain and Spine, LLC

  dba Redefine Healthcare

  • Neurological Surgery Physician
  • Union, NJ
  • NPI 1922771377
  Medicare reassignment Care Compare group NPD
• Premier Brain and Spine LLC

  dba Redefine Healthcare

  • Durable Medical Equipment & Medical Supplies
  • Shrewsbury, NJ
  • NPI 1427944156
  NPD
• Freeman Pain Institute PA

  dba Redefine Healthcare

  • Physical Medicine & Rehabilitation Physician
  • Union, NJ
  • NPI 1689770539
  NPD (past)
• Hudson Orthopedics Pain and Spine

  • Orthopaedic Surgery of the Spine Physician
  • Secaucus, NJ
  • NPI 1235753633
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ijkg Opco LLC

  dba Bayonne Medical Center

  • General Acute Care Hospital
  • Bayonne, NJ
  • NPI 1821101239
  Care Compare affiliation
• Njmhmc, LLC

  dba Hudson Regional Hospital

  • General Acute Care Hospital
  • Secaucus, NJ
  • NPI 1710491253
  Care Compare affiliation

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1366332520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 N STATE RT 17 STE 2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011071",
            "telephone_number": "732-906-9600",
            "fax_number": "833-974-2196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 River Rd",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "NJ",
            "postal_code": "070202234",
            "country_code": "US",
            "telephone_number": "551-999-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 Valley Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070132441",
            "country_code": "US",
            "telephone_number": "551-999-7050",
            "fax_number": "833-428-0623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 E 27th St",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070024608",
            "country_code": "US",
            "telephone_number": "551-999-7050",
            "fax_number": "833-428-0623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "North Arlington",
            "state": "NJ",
            "postal_code": "070316306",
            "country_code": "US",
            "telephone_number": "551-999-7050",
            "fax_number": "833-428-0623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "RAFFAELE",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00955700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rafelle.Simone.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "146 N State Rt 17 Ste 2",
            "city": "Hackensack",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076011071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rafelle.Simone.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "11 Ridge Rd",
            "city": "North Arlington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070316306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rafelle.Simone.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "19 E 27th St",
            "city": "Bayonne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070024608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rafelle.Simone.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "19 E 27th St",
            "city": "Bayonne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070024608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rafelle.Simone.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "855 Valley Rd Ste 200",
            "city": "Clifton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070132441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael P Silverstein, M.D.
• Sara Silverstein, MS OTR/L
• Victoria Elizabeth Simmons
• Laurie Maria Simone, CGC
• Michele Simone, APN
• Carla Simonian, MD
• Gregory T Simonian, MD
• Simple Access Mobility LLC
• Timothy E Simpson, M.D.
• Derek Cheng Yung Sing, M.D.

• Surgical Physician Assistant in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.