Active NPIIndividual provider

Eddy Simon, MD

Internal Medicine in East Orange, New Jersey

NPI Number1851385058
Practice location
310 Central Avenue, Suite 102, East Orange, NJ 07018
Fax
973-395-1556
Last updated
April 20, 2019

Eddy Simon is an Internal Medicine based in East Orange, NJ. Eddy Simon practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Eddy Simon is 1851385058 and holds a License No. MA062638 (NJ). The current practice location address for Eddy Simon is 310 Central Avenue, Suite 102, East Orange, NJ 07018 and can be reached out via phone at 973-395-1550 and via fax at 973-395-1556.

Provider Profile Details

NPI Number
1851385058
Provider Name
Eddy Simon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
310 Central Avenue, Suite 102, East Orange, NJ 07018
Phone Number
973-395-1550
Fax Number
973-395-1556
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2005
Last Update Date
April 20, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
310 Central Avenue
Suite 102
East Orange, NJ 07018
Zip
07018
Phone Number
973-395-1550
Fax Number
973-395-1556
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
21 Edgewood Road
Summit, NJ 07901
City
Summit
State
NJ
Zip
07901
Phone Number
973-395-1550
Fax Number
973-395-1556

License Information

License Number
MA062638
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 Eddy Simon, MD?

The NPI number of Eddy Simon, MD is 1851385058. It was assigned on September 2, 2005 and is currently active in the NPPES registry.

What is the specialty of Eddy Simon, MD?

Eddy Simon, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA062638.

Where does Eddy Simon, MD practice?

The practice location is 310 Central Avenue, Suite 102, East Orange, NJ 07018. The office can be reached at 973-395-1550 (phone) or 973-395-1556 (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 1851385058 directly on the NPPES registry website.

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