Individual provider Active NPI

Simon B Santos Arias, MD

  • Family Medicine Physician
  • Union City, NJ
National Provider Identifier
1497721062
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA34521 Issued in NJ
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

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0470406MedicaidNJ

Other names 1

  • Simon Bolivar Santos Other name

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA34521NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.