Active NPIIndividual provider

Dr. Segun V Simon, MD

Internal Medicine, Nephrology in Maplewood, New Jersey

NPI Number1194956490
Practice location
2130 Millburn Ave, Suite C-3, Maplewood, NJ 07040-3725
Fax
973-763-2558
Last updated
November 22, 2014

Segun V Simon is an Internal Medicine, Nephrology based in Maplewood, NJ. Segun V Simon practices in Maplewood, NJ and has the professional credentials of MD. The NPI Number for Segun V Simon is 1194956490 and holds a License No. 25MA08683000 (NJ). The current practice location address for Segun V Simon is 2130 Millburn Ave, Suite C-3, Maplewood, NJ 07040-3725 and can be reached out via phone at 973-996-2727 and via fax at 973-763-2558.

Provider Profile Details

NPI Number
1194956490
Provider Name
Segun V Simon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2130 Millburn Ave, Suite C-3, Maplewood, NJ 07040-3725
Phone Number
973-996-2727
Fax Number
973-763-2558
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Sole Proprietor
No
Provider Enumeration Date
August 4, 2009
Last Update Date
November 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
2130 Millburn Ave
Suite C-3
Maplewood, NJ 07040-3725
Zip
07040-3725
Phone Number
973-996-2727
Fax Number
973-763-2558
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
Po Box 373
Short Hills, NJ 07078-0373
City
Short Hills
State
NJ
Zip
07078-0373
Phone Number
973-996-2727
Fax Number
973-763-2558

License Information

License Number
25MA08683000
License State
NJ
Taxonomy
Internal Medicine, Nephrology · 207RN0300X · 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 Dr. Segun V Simon, MD?

The NPI number of Dr. Segun V Simon, MD is 1194956490. It was assigned on August 4, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Segun V Simon, MD?

Dr. Segun V Simon, MD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in NJ under license number 25MA08683000.

Where does Dr. Segun V Simon, MD practice?

The practice location is 2130 Millburn Ave, Suite C-3, Maplewood, NJ 07040-3725. The office can be reached at 973-996-2727 (phone) or 973-763-2558 (fax).

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 1194956490 directly on the NPPES registry website.

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