DR. SUSAN C SIMON (MD) – Internal Medicine Physician, NPI 1093704777

DR. SUSAN C SIMON (MD) is a healthcare provider. based in New providence, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 25MA07075100 (NJ). The NPI Number for DR. SUSAN C SIMON (MD) is 1093704777

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN C SIMON (MD)
NPI
1093704777
Phone
(908) 273-4300
Address
150 FLORAL AVE
Enumeration Date
17 October 2005
Last Update Date
10 July 2019

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9082734300
Graduation Year
1996 (30 years ago)
PAC ID
6204021827
Group Practice PAC ID
5395642276
Professional Enrollment ID
I20101109000896
Address ID
NJ079222104BE1XXXXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,910 INTERNAL MEDICINE in NJ

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Provider Addresses for DR. SUSAN C SIMON (MD)

  • 150, Floral Avenue, Murray Hill, New Providence, Union County, New Jersey, 07974, United States

    NEW PROVIDENCE, NJ 079741557

    Phone: (908) 273-4300

    Fax: (908) 790-6576

    Type: Mailing

  • 560, Springfield Avenue, Westfield, Union County, New Jersey, 07090, United States

    WESTFIELD, NJ 070901024

    Phone: (908) 228-3610

    Fax: (908) 228-3617

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101109000896IInternal MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes603300$0
36415Insertion of needle into vein for collection of blood sample522264$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit274274$0
80061Blood test, lipids (cholesterol and triglycerides)242197$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count220176$0
View full utilization report →

Insurance plans in this area (ZIP 07974)

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Provider's Procedures

DR. SUSAN C SIMON (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINENJ90670Pneumococcal vaccine for injection into muscle7979

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395642276View full group profile
NameSpecialtyState
U R O L O G YNJ
Radiation OncologyNY
-NJ
Physician AssistantPA
-NJ
Physical Therapist In Private PracticeNJ
-NJ
Hematology/Oncology, Medical OncologyOH
-NJ
G A S T R O E N T E R O L O G YNJ

Reviews

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Frequently asked questions

How is DR. SUSAN C SIMON (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. SUSAN C SIMON (MD) with NPI 1093704777.
Is DR. SUSAN C SIMON (MD) listed as active for patients and plans?
The listing shows DR. SUSAN C SIMON (MD) as active in the NPI system.
What taxonomy line describes DR. SUSAN C SIMON (MD)?
For research purposes, treat DR. SUSAN C SIMON (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. SUSAN C SIMON (MD) serve?
DR. SUSAN C SIMON (MD)'s listing highlights New Providence, New Jersey; more addresses can appear in NPPES.
Why does DR. SUSAN C SIMON (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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