Individual provider Active NPI

Leslie Simonson, M.D.

  • Adult Medicine Physician
  • Union City, NJ
National Provider Identifier
1831262252
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MA069032 Issued in NJ
Practice address
415 43Rd St
Union City, NJ 07087-5009
Phone
(201) 583-1600
Fax
(201) 583-1114
NPI assigned
Nov 15, 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
Adult Medicine Physician 207QA0505X MA069032 NJ Primary

Addresses

Primary practice location

415 43Rd St
Union City, NJ 07087-5009

Mailing address

415 43Rd St
Union City, NJ 07087-5009
Phone (201) 583-1600

Other identifiers 1

IdentifierTypeStateIssuer
8043604MedicaidNJ

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
I20040511000715 NJ Practitioner - Family Practice 9133118474 Practice locations: Union City, NJ; West Orange, NJ

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southwest School of Medicine and Hospital, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

77 Main St
Suite 1
West Orange, NJ 07052-5418
Phone (973) 324-1700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Kaiser Chiropractic Center, Inc PastSince Nov 14, 2009 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: leslie.simonson@lesliejsimonsonmd.ehi.direct-ci.com
  • Direct secure messaging: leslie.simonson@direct.hobokenumc.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831262252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 43RD ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875009",
            "telephone_number": "201-583-1600",
            "fax_number": "201-583-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 43RD ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875009",
            "telephone_number": "201-583-1600",
            "fax_number": "201-583-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "LESLIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "MA069032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8043604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.