Active NPIIndividual provider

Jessica Simon, RD

Dietitian, Registered in Tenafly, New Jersey

NPI Number1154119147
Practice location
200 Knickerbocker RD, Tenafly, NJ 07670-2418
Fax
—
Last updated
February 16, 2026

Jessica Simon is a Dietitian, Registered based in Tenafly, NJ. Jessica Simon practices in Tenafly, NJ and has the professional credentials of RD. The NPI Number for Jessica Simon is 1154119147 and holds a License No. 86296090 (NY). The current practice location address for Jessica Simon is 200 Knickerbocker RD, Tenafly, NJ 07670-2418 and can be reached out via phone at 646-299-5893.

Provider Profile Details

NPI Number
1154119147
Provider Name
Jessica Simon
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
200 Knickerbocker RD, Tenafly, NJ 07670-2418
Phone Number
646-299-5893
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2025
Last Update Date
February 16, 2026
Certification Date
February 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Knickerbocker RD
Tenafly, NJ 07670-2418
Zip
07670-2418
Phone Number
646-299-5893
Tenafly, NJ 07670Get directions →

Provider Business Mailing Address Details

Address
200 Knickerbocker RD
Tenafly, NJ 07670-2418
City
Tenafly
State
NJ
Zip
07670-2418
Phone Number
646-299-5893

License Information

License Number
86296090
License State
NY
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Simon, RD?

The NPI number of Jessica Simon, RD is 1154119147. It was assigned on April 29, 2025 and is currently active in the NPPES registry.

What is the specialty of Jessica Simon, RD?

Jessica Simon, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 86296090.

Where does Jessica Simon, RD practice?

The practice location is 200 Knickerbocker RD, Tenafly, NJ 07670-2418. The office can be reached at 646-299-5893 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154119147 directly on the NPPES registry website.

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