Dr Sima Dalal, DO - Medicare Family Medicine in Newark, NJ

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Dr Sima Dalal, DO is a medicare enrolled "Family Medicine" physician in Newark, New Jersey. Her current practice location is 394 University Ave, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 733-5300.

Dr Sima Dalal is licensed to practice in New Jersey (license number 25MB07396100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366421448.

Contact Information

Dr Sima Dalal, DO
394 University Ave,
Newark, NJ 07102-1221
(973) 733-5300
(973) 733-4328

Map and Direction




Physician's Profile

Full NameDr Sima Dalal
GenderFemale
SpecialityFamily Medicine
Location394 University Ave, Newark, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366421448
  • Provider Enumeration Date: 01/17/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3375728439
  • Enrollment ID: I20110505000087

Medical Identifiers

Medical identifiers for Dr Sima Dalal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366421448NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MB07396100 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sima Dalal allows following entities to bill medicare on her behalf.
Entity NameCity Of Newark
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356561278
PECOS PAC ID: 8123169182
Enrollment ID: O20100113000101

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sima Dalal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sima Dalal, DO
950 Edgewater Ave,
Ridgefield, NJ 07657-2439

Ph: (201) 953-1469		Dr Sima Dalal, DO
394 University Ave,
Newark, NJ 07102-1221

Ph: (973) 733-5300

Reviews and Comments


Family Medicine Doctors in Newark, NJ

Pamela Anderson,
Family Medicine
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Practice Location: 354 Doremus Ave, Newark, NJ 07105
Phone: 973-274-6816    
Michael A. Gerstmann, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 183 S Orange Ave, Bhsb B-1455, Newark, NJ 07103
Phone: 973-972-6479    Fax: 973-972-8626
Padam K Neopane, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 90 Bergen St Ste 300, Newark, NJ 07103
Phone: 973-972-2111    Fax: 973-972-2754
Dr. Hortensia Kelly, D.O
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 851 Mount Prospect Ave, Newark, NJ 07104
Phone: 973-481-0501    Fax: 973-481-0503
Novneet Sahu, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 185 S Orange Ave, Newark, NJ 07103
Phone: 973-972-2861    
Aicha Fofana, MSN, APRN, FNP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 374 7th Ave W Unit 7114, Newark, NJ 07107
Phone: 862-235-7886    
Noa'a Shimoni, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 90 Bergen St, Suite 1750, Newark, NJ 07103
Phone: 973-972-8219    Fax: 973-972-0018

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.