Individual provider Active NPI

John Simon, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Point Pleasant Boro, NJ
National Provider Identifier
1548069636
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15285000 Issued in NJ
Practice address
3820 River Rd
Point Pleasant Boro, NJ 08742-2054
Phone
(856) 818-4020
NPI assigned
Mar 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15285000 NJ Primary

Addresses

Primary practice location

3820 River Rd
Point Pleasant Boro, NJ 08742-2054

Mailing address

79 E Railroad Ave
Jamesburg, NJ 08831-1207
Phone (732) 561-8555

Other practice location 1

79 E Railroad Ave
Jamesburg, NJ 08831-1207
Phone (732) 561-8555

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
I20250618004207 NJ Practitioner - Nurse Practitioner 6204347909 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuropsychology and Counseling Associates, LLCGroup PAC ID 4880689298, 15 clinicians
Theracorp, LLCGroup PAC ID 8426319104, 20 clinicians

Practice addresses (Care Compare)

3820 River Rd
Point Pleasant, NJ 08742-2054
Phone (732) 840-5266

79 E Railroad Ave
Jamesburg, NJ 08831-1207
Phone (732) 561-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15285000NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theracorp, LLC CurrentSince Jun 2, 2025 Accepting new patients
Middlesex Psychiatry & TMS PC CurrentSince Mar 31, 2026 Accepting new patients
Theracorp, LLC CurrentSince Jun 2, 2025 Accepting new patients

Locations

86 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (732) 561-8555

271 US Highway 46
Ste C209
Fairfield, NJ 07004
Phone (732) 561-8555

4 Paragon Way
Ste 350
Freehold, NJ 07728
Phone (212) 262-0741

203 Candlewood Cmns
Howell, NJ 07731
Phone (732) 561-8555

79 E Railroad Ave
Jamesburg, NJ 08831
Phone (732) 561-8555

3820 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 840-5266

1696 Route 88
Wall Township, NJ 08724
Phone (732) 561-8555

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": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1548069636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 E RAILROAD AVE",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311207",
            "telephone_number": "732-561-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 RIVER RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422054",
            "telephone_number": "856-818-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 E Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Jamesburg",
            "state": "NJ",
            "postal_code": "088311207",
            "country_code": "US",
            "telephone_number": "732-561-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JOHN",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-11",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15285000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

Verify at the official NPI Registry.