Steven Jon Simmerman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00275400 Issued in NJ

Practice address

415 Woodbury Glassboro Rd
Sewell, NJ 08080-4559

Phone

(856) 589-1288

Fax

(856) 589-3437

NPI assigned

Sep 29, 2006

Last updated

Jul 8, 2007By 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)

Enrolled

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417049941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 WOODBURY GLASSBORO RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804559",
            "telephone_number": "856-589-1288",
            "fax_number": "856-589-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WOODBURY GLASSBORO RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804559",
            "telephone_number": "856-589-1288",
            "fax_number": "856-589-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMERMAN",
        "first_name": "STEVEN",
        "middle_name": "JON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00275400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1638505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexa Shalit, M.ED
• Nana A L Shames, BSN, FNP-BC
• John Edwin Sheppard, D.D.S.
• Esther Netanya Shor, MD
• Brandon Louis Sierchio, MA, BCBA
• Jay H Simon, DDS
• Robin Simonson
• Anmol Singh
• Jyotsana Singh, MD
• Munit Singh

• Optometrist in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.