Individual provider Active NPI

Charles Brian Simone, M.D.

  • Hematology & Oncology Physician
  • Lawrenceville, NJ
National Provider Identifier
1821019662
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA03248500 Issued in NJ
Practice address
123 Franklin Corner Rd
Lawrenceville, NJ 08648-2526
Phone
(609) 896-2646
Fax
(609) 896-2211
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA03248500 NJ Primary

Addresses

Primary practice location

123 Franklin Corner Rd
Lawrenceville, NJ 08648-2526

Mailing address

123 Franklin Corner Rd
Lawrenceville, NJ 08648-2526
Phone (609) 896-2646

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816000163 NJ Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Preventive Medicine 1658301114 Practice locations: Lawrenceville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine, Preventive Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 Franklin Corner Rd
Suite 108
Lawrenceville, NJ 08648-2526
Phone (609) 896-2646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821019662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-896-2646",
            "fax_number": "609-896-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FRANKLIN CORNER RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482526",
            "telephone_number": "609-896-2646",
            "fax_number": "609-896-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "CHARLES",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA03248500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.