Active NPI
Simon B Santos Arias, MD
- Family Medicine Physician
- Union City, NJ
National Provider Identifier
1497721062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA34521
- Practice address
- 410 36TH St
1St Floor
Union City, NJ 07087-4712 - Phone
- (201) 863-7744
- Fax
- (201) 863-7608
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA34521 | NJ | Primary |
| Surgery Physician | 208600000X | MA34521 | NJ | |
| General Practice Physician | 208D00000X | MA34521 | NJ |
Addresses
Primary practice location
410 36TH St
1St Floor
Union City, NJ 07087-4712
Mailing address
410 36TH St
1St Floor
Union City, NJ 07087-4712
Phone (201) 863-7744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0470406 | Medicaid | NJ |
Other names 1
- Simon Bolivar Santos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA34521 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardio Pulmonary Diagnostic LLC | Past | Accepting new patients | |
| Open MRI of Clifton, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Elizabeth, NJ
- NPI 1023112638
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Clifton, NJ
- NPI 1770532145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1497721062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 36TH ST",
"address_2": "1ST FLOOR",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070874712",
"telephone_number": "201-863-7744",
"fax_number": "201-863-7608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 36TH ST",
"address_2": "1ST FLOOR",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070874712",
"telephone_number": "201-863-7744",
"fax_number": "201-863-7608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS ARIAS",
"first_name": "SIMON",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA34521",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "MA34521",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NJ",
"license": "MA34521",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0470406",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SIMON",
"last_name": "SANTOS",
"middle_name": "BOLIVAR",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Union City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.