Marc Lee Simon, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MB03674200 Issued in NJ

Practice address

16 Pocono Rd Ste 310
Denville, NJ 07834-2908

Phone

(973) 627-4227

Fax

(973) 664-7572

NPI assigned

Jan 29, 2007

Last updated

Apr 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Morris County Gastroenterology Associates, PA

  • Gastroenterology Physician
  • Denville, NJ
  • NPI 1982767521

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1619013778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POCONO RD STE 310",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342908",
            "telephone_number": "973-627-4227",
            "fax_number": "973-627-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD STE 310",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342908",
            "telephone_number": "973-627-4227",
            "fax_number": "973-664-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MARC",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB03674200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1607901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Siessel
• Kevin Boyd Siewers, NP
• Azam Sikander, M.D.
• Jesse A. Silverman, M.D.
• Rocco A Simmerano, M.D.
• Gagandeep Singh
• Harpartap Singh, MD
• Jaideep Singh, MD
• Ravnit Singh, MD
• Neelima Sinha, MD

• Surgery Physician in Denville, NJ
• Providers in Denville, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.