Active NPIIndividual provider

Mr. Raffaele C Simone, PA-C

Physician Assistant, Surgical in Hackensack, New Jersey

NPI Number1366332520
Practice location
146 N State Rt 17 Ste 2, Hackensack, NJ 07601-1071
Fax
833-974-2196
Last updated
August 8, 2025

Raffaele Charles Simone is a Physician Assistant, Surgical based in Hackensack, NJ. Raffaele Charles Simone practices in Hackensack, NJ and has the professional credentials of PA-C. The NPI Number for Raffaele Charles Simone is 1366332520 and holds a License No. 25MP00955700 (NJ). The current practice location address for Raffaele Charles Simone is 146 N State Rt 17 Ste 2, Hackensack, NJ 07601-1071 and can be reached out via phone at 732-906-9600 and via fax at 833-974-2196.

Provider Profile Details

NPI Number
1366332520
Provider Name
Raffaele Charles Simone
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
146 N State Rt 17 Ste 2, Hackensack, NJ 07601-1071
Phone Number
732-906-9600
Fax Number
833-974-2196
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
July 8, 2025
Last Update Date
August 8, 2025
Certification Date
August 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
146 N State Rt 17 Ste 2
Hackensack, NJ 07601-1071
Zip
07601-1071
Phone Number
732-906-9600
Fax Number
833-974-2196
Hackensack, NJ 07601Get directions →

Provider Business Mailing Address Details

Address
90 Matawan RD Ste 302
Matawan, NJ 07747-2653
City
Matawan
State
NJ
Zip
07747-2653
Phone Number
732-441-7177
Fax Number
732-441-7165

License Information

License Number
25MP00955700
License State
NJ
Taxonomy
Physician Assistant, Surgical · 363AS0400X · 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 Mr. Raffaele C Simone, PA-C?

The NPI number of Mr. Raffaele C Simone, PA-C is 1366332520. It was assigned on July 8, 2025 and is currently active in the NPPES registry.

What is the specialty of Mr. Raffaele C Simone, PA-C?

Mr. Raffaele C Simone, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00955700.

Where does Mr. Raffaele C Simone, PA-C practice?

The practice location is 146 N State Rt 17 Ste 2, Hackensack, NJ 07601-1071. The office can be reached at 732-906-9600 (phone) or 833-974-2196 (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 1366332520 directly on the NPPES registry website.

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