NPIMap

Individual provider Active NPI

Michael Simon, MD

  • Internal Medicine Physician
  • Sayreville, NJ
National Provider Identifier
1538185657
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05520400 Issued in NJ
Practice address
53 Main St
Sayreville, NJ 08872-1559
Phone
(732) 254-6200
Fax
(732) 254-7803
NPI assigned
Jul 14, 2006
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05520400 NJ Primary

Addresses

Primary practice location

53 Main St
Sayreville, NJ 08872-1559

Mailing address

629 Cranbury Rd FL 2
East Brunswick, NJ 08816-4096
Phone (732) 254-6200

Other practice location 1

100 Perrine Road
Old Bridge, NJ 08857
Phone (732) 707-4271

Other identifiers 4

IdentifierTypeStateIssuer
S1688640OtherNJMEDICARE ID-TYPE UNSPECIF
1025374019OtherCIGNA
5545307MedicaidNJ
LP135OtherOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000786 NJ Practitioner - Internal Medicine 4385689975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Titan Health Partners LLCGroup PAC ID 3971915349, 98 clinicians

Practice addresses (Care Compare)

629 Cranbury Rd
FL 2
East Brunswick, NJ 08816-4096
Phone (732) 390-7750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05520400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Medical and Health Associates,LLC Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Titan Health Partners LLC CurrentSince Apr 1, 2024 Accepting new patients
Titan Health Partners LLC CurrentSince Apr 1, 2024 Accepting new patients
Rakesh Passi MD LLC Past Accepting new patients
Titan Health Partners LLC Past Accepting new patients

Locations

629 Cranbury Rd
#2
East Brunswick, NJ 08816
Phone (732) 724-1739

34-36 Progress St
Ste B
Edison, NJ 08820

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

53 Main St
Sayreville, NJ 08872
Phone (732) 254-6200

Interoperability endpoints

  • Direct secure messaging: michael.simon@direct.carepointhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1538185657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 CRANBURY RD FL 2",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164096",
            "telephone_number": "732-254-6200",
            "fax_number": "732-254-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MAIN ST",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088721559",
            "telephone_number": "732-254-6200",
            "fax_number": "732-254-7803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Perrine Road",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "08857",
            "country_code": "US",
            "telephone_number": "732-707-4271",
            "fax_number": "732-707-4270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05520400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIF",
            "identifier": "S1688640",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1025374019",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5545307",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "LP135",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayreville, NJ

Sources for this page

Verify at the official NPI Registry.