Active NPI
Andrew L Simon M D - Imrt LLC
- Radiation Oncology Physician
- Lakewood, NJ
National Provider Identifier
1477723682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 25MA05112300
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew L Simon, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 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 DirectoryPractitioners & 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.
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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.