| Hannah Simon, | |
|
600 Mount Pleasant Ave, Dover, NJ 07801-1629 | |
| (973) 366-4000 | |
| Not Available |
| Full Name | Hannah Simon |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 600 Mount Pleasant Ave, Dover, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033823950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 40QA02121000 (New Jersey) | Primary |
| Entity Name | Activecare Physical Therapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407898778 PECOS PAC ID: 4082501572 Enrollment ID: O20040301000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Simon, 26 Morris Ave, Montville, NJ 07045-9453 Ph: () - | Hannah Simon, 600 Mount Pleasant Ave, Dover, NJ 07801-1629 Ph: (973) 366-4000 |
Lauren Haviland, OTR/L Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 65 N Sussex St, Dover, NJ 07801 Phone: 973-361-5200 | |
Dr. Werner Salvador Bustamante, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 600 Mount Pleasant Ave Ste F, Dover, NJ 07801 Phone: 973-366-4000 | |
Mrs. Lyudmila Edshteyn, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 65 N Sussex St, Dover, NJ 07801 Phone: 973-361-5678 Fax: 973-361-8312 |