Jeffrey Lawrence Simon, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD0001075 Issued in NJ

Practice address

28-02 Broadway
Fair Lawn, NJ 07410-3913

Phone

(201) 791-6267

Fax

(201) 791-6667

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1790728103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28-02 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103913",
            "telephone_number": "201-791-6267",
            "fax_number": "201-791-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-02 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103913",
            "telephone_number": "201-791-6267",
            "fax_number": "201-791-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JEFFREY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD0001075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sigl LLC
• Carlos Silva
• Laura Silva
• David Silverman, PT
• Andrew Sim, M.D.
• Brad Adam Singman, MD
• Nicole Sinisi
• Joanne Skawinski, COTA
• Irena Skibinsky, D.M.D
• Ashley Skrec, M.A. CCC-SLP

• Podiatrist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.