Individual provider Active NPI

Sima Thaler-Phillip, P.A.

  • Medical Physician Assistant
  • Toms River, NJ
National Provider Identifier
1699944033
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00471900 Issued in NJ
Practice address
1815 Lakewood Rd Ste 248
Toms River, NJ 08755-1671
Phone
(732) 455-9688
Fax
(848) 210-8756
NPI assigned
Feb 28, 2008
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 012389 NY
Medical Physician Assistant 363AM0700X PA9117706 FL
Medical Physician Assistant 363AM0700X MA063671 PA
Medical Physician Assistant 363AM0700X 25MP00471900 NJ Primary

Addresses

Primary practice location

1815 Lakewood Rd Ste 248
Toms River, NJ 08755-1671

Mailing address

1815 Lakewood Rd Ste 248
Toms River, NJ 08755-1671
Phone (732) 455-9688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, PA, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150717000096 NY Practitioner - Physician Assistant 5395967210 Reassigns benefits to 1 organization
I20181120001146 NJ Practitioner - Physician Assistant 5395967210 Reassigns benefits to 3 organizations
I20221111001905 PA Practitioner - Physician Assistant 5395967210 Reassigns benefits to 1 organization
I20240129002644 FL Practitioner - Physician Assistant 5395967210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakewood Resource and Referral Center IncGroup PAC ID 6901981497, shared by 5 NPIs, 106 clinicians

Practice addresses (Care Compare)

1771 Madison Ave
Lakewood, NJ 08701-1251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012389NYMDPhysical Therapy Assistant
PA9117706FLMDMedical Physician Assistant
25MP00471900NJMDMedical Physician Assistant
MA063671PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Resource and Referral Center Inc Current Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Sep 17, 2025 Accepting new patients
Treasure Coast Medical Associates CurrentSince Dec 26, 2023 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Sep 17, 2025 Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients

Locations

3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082

305 NE Park St
Okeechobee, FL 34972
Phone (772) 692-8082

7195 S George Blvd
Sebring, FL 33875
Phone (863) 451-5854

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1699944033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 LAKEWOOD RD STE 248",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551671",
            "telephone_number": "732-455-9688",
            "fax_number": "848-210-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 LAKEWOOD RD STE 248",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551671",
            "telephone_number": "732-455-9688",
            "fax_number": "848-210-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALER-PHILLIP",
        "first_name": "SIMA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012389",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9117706",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063671",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00471900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.