Provider Demographics
NPI:1952372468
Name:SIMONE, PHILIP MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:MICHAEL
Last Name:SIMONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:746 HIGHWAY 34
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747
Mailing Address - Country:US
Mailing Address - Phone:732-290-8300
Mailing Address - Fax:732-290-8301
Practice Address - Street 1:746 HIGHWAY 34
Practice Address - Street 2:SUITE 2
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747
Practice Address - Country:US
Practice Address - Phone:732-290-8300
Practice Address - Fax:732-290-8301
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA70752207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000009194474OtherPHCS
3K6306OtherHEALTHNET ADVANTAGE PLATINUM
5528995OtherFIRST HEALTH
K9946OtherHORIZON BLUE CROSS/BLUE SHIELD
57362OtherQUALCARE
3K6303-975476OtherHEALTHNET ADVANTAGE PLATINUM PPO
8734731P03OtherCIGNA OPEN ACCESS PLUS
00002095299 09OtherUNITED HEALTHCARE
434935OtherAETNA HMO
7370258OtherAETNA
8734731013OtherCIGNA HMO/POS
P2547228OtherOXFORD
P2547228OtherOXFORD
NJH21438Medicare UPIN