Jay H Simon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DI11620 Issued in NJ

Practice address

474 Hurffville Crosskeys Rd
Atrium 1 Suite a
Sewell, NJ 08080-2321

Phone

(856) 582-1000

Fax

(856) 589-1093

NPI assigned

Mar 5, 2007

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 6, 2016 through Jun 6, 2028

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Washington TWP Dental Assoc, P.a.

  • Dentist
  • Sewell, NJ
  • NPI 1730305640
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801925649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 FORREST HILLS DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433910",
            "telephone_number": "856-582-1000",
            "fax_number": "856-589-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 HURFFVILLE CROSSKEYS RD",
            "address_2": "ATRIUM 1 SUITE A",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802321",
            "telephone_number": "856-582-1000",
            "fax_number": "856-589-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JAY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI11620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nana A L Shames, BSN, FNP-BC
• John Edwin Sheppard, D.D.S.
• Esther Netanya Shor, MD
• Brandon Louis Sierchio, MA, BCBA
• Steven Jon Simmerman, OD
• Robin Simonson
• Anmol Singh
• Jyotsana Singh, MD
• Munit Singh
• Vijay Singh, MD

• Dentist in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.