NPIMap

Individual provider Active NPI

Paul J Simon, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Toms River, NJ
National Provider Identifier
1417908468
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MB048321 Issued in NJ
Practice address
99 Highway 37
Toms River, NJ 08755-6423
Phone
(732) 557-8000
NPI assigned
May 15, 2006
Last updated
Aug 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MB048321 NJ Primary

Addresses

Primary practice location

99 Highway 37
Toms River, NJ 08755-6423

Mailing address

PO Box 1247
Toms River, NJ 08754-1247
Phone (732) 349-3838

Other identifiers 5

IdentifierTypeStateIssuer
220018740OtherRRM
5126401OtherAMGP
1130329OtherMHP
5126401MedicaidNJ
0539253000OtherAMERIHEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000411 NJ Practitioner - Pathology 7012935976 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Midwestern University, Chicago College of Osteopathic Med, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Service Fund of Deborah Heart and Lung CenterGroup PAC ID 4284537499, 118 clinicians
Pathlink of New JerseyGroup PAC ID 0446641245, 15 clinicians

Practice addresses (Care Compare)

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

901 W Main St
Freehold, NJ 07728-2537
Phone (407) 422-9831

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.33 of 100Reported as group
Quality
96.63
Promoting interoperability
99
Improvement activities
40
Cost
81.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB048321NJMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Pathology Laboratories, PA Anatomic Pathology & Clinical Pathology Current Accepting new patients
Hackensack Pathology Associates, LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 8, 2013 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Apr 23, 2022 Accepting new patients
Pathlink of New Jersey Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2021 Accepting new patients
North Jersey Pathologists Corp. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Princeton Pathology Services PA Anatomic Pathology & Clinical Pathology CurrentSince Jan 19, 2020 Accepting new patients

Locations

7083 Grand National Dr
Ste 102
Orlando, FL 32819

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

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

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

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

5700 Southwyck Blvd
Toledo, OH 43614

Interoperability endpoints

  • Direct secure messaging: psimon425648@direct.ahsys.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1417908468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1247",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087541247",
            "telephone_number": "732-349-3838",
            "fax_number": "732-349-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HIGHWAY 37",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556423",
            "telephone_number": "732-557-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "MB048321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "220018740",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMGP",
            "identifier": "5126401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHP",
            "identifier": "1130329",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5126401",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0539253000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.