Organization Active NPI

Wolfe-Simon Medical Associates PA

  • Family Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1952406076
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WOLFE-SIMON MEDICAL ASSOCIATES PA
Practice address
511 Kings Hwy N
Cherry Hill, NJ 08034-1503
Phone
(856) 667-1654
Fax
(856) 482-8057
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Richard M Simon, D.O.
Title
Owner
Phone
(856) 667-1654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NJ Primary

Addresses

Primary practice location

511 Kings Hwy N
Cherry Hill, NJ 08034-1503

Mailing address

511 Kings Hwy N
Cherry Hill, NJ 08034-1503
Phone (856) 667-1654

Other identifiers 1

IdentifierTypeStateIssuer
2219154457OtherGEHA

National Provider Directory

National Provider Directory

Locations

511 Kings Hwy N
Cherry Hill, NJ 08034
Phone (609) 667-1654

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952406076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 KINGS HWY N",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341503",
            "telephone_number": "856-667-1654",
            "fax_number": "856-482-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 KINGS HWY N",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341503",
            "telephone_number": "856-667-1654",
            "fax_number": "856-482-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFE-SIMON MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-667-1654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA",
            "identifier": "2219154457",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.