Michael Simon, MD - Medicare Internal Medicine in Sayreville, NJ

Michael Simon, MD is a medicare enrolled "Internal Medicine" physician in Sayreville, New Jersey. He went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice New Jersey Medical And Health Associates Llc and his current practice location is 53 Main St, Sayreville, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 254-6200.

Michael Simon is licensed to practice in New Jersey (license number 25MA05520400) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538185657.

Contact Information

Michael Simon, MD
53 Main St,
Sayreville, NJ 08872-1559
(732) 254-6200
(732) 254-7803

Map and Direction




Physician's Profile

Full NameMichael Simon
GenderMale
SpecialityInternal Medicine
Experience35 Years
Location53 Main St, Sayreville, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Simon attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 1989
  NPI Data:
  • NPI Number: 1538185657
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 02/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4385689975
  • Enrollment ID: I20050623000786

Medical Identifiers

Medical identifiers for Michael Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538185657NPI-NPPES
S1688640OtherNJMEDICARE ID-TYPE UNSPECIF
LP135OtherOXFORD
1025374019OtherCIGNA
5545307MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA05520400 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vna Of Central Jersey Home Care & HospiceToms river, NJHome health agency
Raritan Bay Medical Center Perth Amboy DivisionPerth amboy, NJHospital
Atrium Post Acute Care Of MatawanMatawan, NJNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New Jersey Medical And Health Associates Llc913330079168

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. Michael Simon allows following entities to bill medicare on his behalf.
Entity NameNew Jersey Medical And Health Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558673582
PECOS PAC ID: 9133300791
Enrollment ID: O20110302000334

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. Michael Simon 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
Michael Simon, MD
629 Cranbury Rd Fl 2,
East Brunswick, NJ 08816-4096

Ph: (732) 254-6200
Michael Simon, MD
53 Main St,
Sayreville, NJ 08872-1559

Ph: (732) 254-6200

Reviews and Comments


Internal Medicine Doctors in Sayreville, NJ

Dr. Rosemarie Bonk, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 53 Main St, Sayreville, NJ 08872
Phone: 732-254-6200    
Puneet Sahgal, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 75 Main St, Sayreville, NJ 08872
Phone: 732-238-3773    Fax: 732-238-3622
Dr. Bienvenido I Alcasid, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 75 Main St, Sayreville, NJ 08872
Phone: 732-238-3773    Fax: 732-238-3622

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.