Individual provider Active NPI

Aneekah G Simmons-Durham, PA

  • Physician Assistant
  • Paterson, NJ
National Provider Identifier
1528002193
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00160300 Issued in NJ
Practice address
1048 Main Street
Paterson, NJ 07503-2212
Phone
(973) 782-5577
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00160300 NJ Primary

Addresses

Primary practice location

1048 Main Street
Paterson, NJ 07503-2212

Mailing address

1048 Main Street
Paterson, NJ 07503-2212
Phone (973) 782-5577

Other practice location 1

825 Riverview Dr Ste 10
Totowa, NJ 07512-1119
Phone (973) 782-5577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126002562 NJ Practitioner - Physician Assistant 3577934793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Womens Health of New Jersey LLCGroup PAC ID 6800101569, 2 clinicians
The Heart Center of the OrangesGroup PAC ID 7517950645, 41 clinicians

Practice addresses (Care Compare)

1042 Main St
Paterson, NJ 07503-2212

1048 Main St
Paterson, NJ 07503-2212
Phone (973) 782-5577

825 Riverview Dr
Suite 10
Totowa, NJ 07512-1119
Phone (973) 200-2794

92 Old Northfield Rd
West Orange, NJ 07052-5354
Phone (973) 736-5552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00160300NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Center of the Oranges CurrentSince Dec 1, 2025 Accepting new patients
Planned Parenthood of Metropolitan New Jersey Past Accepting new patients
Planned Parenthood of Metroplitan NJ, Inc. Past Accepting new patients

Locations

135 Bloomfield Ave
Ste B
Bloomfield, NJ 07003
Phone (973) 743-2248

60 Evergreen Pl
Ste 400
East Orange, NJ 07018

2091 Millburn Ave
Maplewood, NJ 07040
Phone (973) 378-2266

60 Vose Ave
South Orange, NJ 07079
Phone (973) 763-5200

92 Old Northfield Rd
West Orange, NJ 07052
Phone (973) 736-0885

Organizations & group practices 4

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1528002193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 MAIN STREET",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032212",
            "telephone_number": "973-782-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 MAIN STREET",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032212",
            "telephone_number": "973-782-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Riverview Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Totowa",
            "state": "NJ",
            "postal_code": "075121119",
            "country_code": "US",
            "telephone_number": "973-782-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS-DURHAM",
        "first_name": "ANEEKAH",
        "middle_name": "G",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00160300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.