Healthcare Provider Details

I. General information

NPI: 1609938042
Provider Name (Legal Business Name): SIMON MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 02/13/2020
Certification Date: 02/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19B TECH CIR
NATICK MA
01760-1023
US

IV. Provider business mailing address

1950 RUTGERS UNIVERSITY BLVD
LAKEWOOD NJ
08701-4537
US

V. Phone/Fax

Practice location:
  • Phone: 508-655-0978
  • Fax: 508-653-6238
Mailing address:
  • Phone: 732-348-0108
  • Fax: 732-348-0208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ALAN BERMAN
Title or Position: CEO
Credential:
Phone: 732-348-1119