Organization Active NPI

Andrew L Simon M D - Imrt LLC

  • Radiation Oncology Physician
  • Lakewood, NJ
National Provider Identifier
1477723682
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MA05112300 Issued in NJ
Legal business name
ANDREW L SIMON M D - IMRT LLC
Practice address
900 Route 70
Lakewood, NJ 08701-5940
Phone
(732) 840-0900
Fax
(732) 840-0912
NPI assigned
Mar 4, 2008
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Andrew L Simon, M.D.NPI 1992767388
Title
President
Phone
(732) 840-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 25MA05112300 NJ Primary

Addresses

Primary practice location

900 Route 70
Lakewood, NJ 08701-5940

Mailing address

2517 Autumn Dr
Manasquan, NJ 08736-2134
Phone (732) 840-0900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1477723682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 AUTUMN DR",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362134",
            "telephone_number": "732-840-0900",
            "fax_number": "732-840-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015940",
            "telephone_number": "732-840-0900",
            "fax_number": "732-840-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW L SIMON M D - IMRT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-840-0900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA05112300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.