SIMON VICHNEVETSKY (MD) – Emergency Medicine Physician, NPI 1427020197

Emergency Medicine Physician

SIMON VICHNEVETSKY (MD) is a healthcare provider. based in Berkeley heights, New Jersey. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. MA40137 (NJ). The NPI Number for SIMON VICHNEVETSKY (MD) is 1427020197

Main info

Male

46 Years Of Experience

Accepts Medicare Assignment

Name

SIMON VICHNEVETSKY (MD)

NPI

1427020197

Phone

(908) 273-4300

Address

1 DIAMOND HILL RD

Enumeration Date

6 February 2006

Last Update Date

28 March 2008

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9082734300

Graduation Year

1980 (46 years ago)

PAC ID

7618955519

Group Practice PAC ID

5395642276

Professional Enrollment ID

I20040726001178

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

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Provider Addresses for SIMON VICHNEVETSKY (MD)

Walgreens, 1, Diamond Hill Road, Berkeley Heights, Union County, New Jersey, 07922, United States
SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 079222104
Phone: (908) 273-4300
Fax: (908) 277-8779
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07922)

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Provider's Procedures

SIMON VICHNEVETSKY (MD) performs procedures in Emergency Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
EMERGENCY MEDICINE	NJ	85610	Blood test, clotting time	24	22

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

Name	Specialty	State
DR. THOMAS JOHN MUELLER (MD)	U R O L O G Y	NJ
NELLY HUPPERT (MD)	Radiation Oncology	NY
JOYCE R TALAVERA (MD)	-	NJ
KENNETH MILLER (MD FACC FSCAI)	-	NJ
DR. MICHAEL A MITACCHIONE (DPT)	Physical Therapist In Private Practice	NJ
DR. CARMEN SANTIAGO (AU.D)	-	NJ
PATRICIA ANN SHORROCK (RN,APN,C)	-	NJ
JOHN FRANZESE (M.D.)	G A S T R O E N T E R O L O G Y	NJ
WILLIAM D MATUOZZI (MD)	-	NJ
JESSICA LACEY PLATT (AUD)	-	NJ

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Frequently asked questions

How is SIMON VICHNEVETSKY (MD) identified in CMS data?

CMS-hosted NPPES data lists SIMON VICHNEVETSKY (MD) with NPI 1427020197.

Is SIMON VICHNEVETSKY (MD) listed as active for patients and plans?

The listing shows SIMON VICHNEVETSKY (MD) as active in the NPI system.

What taxonomy line describes SIMON VICHNEVETSKY (MD)?

For research purposes, treat SIMON VICHNEVETSKY (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for SIMON VICHNEVETSKY (MD)?

SIMON VICHNEVETSKY (MD)'s geographic hint is Berkeley Heights, New Jersey in our summary view.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.