NPPES file of Aug 9, 2026

Paul J. Simon, D.O.

Anatomic Pathology & Clinical Pathology Physician · Toms River, NJ

Paul J. Simon, D.O. is an anatomic pathology & clinical pathology physician with a practice address in Toms River, New Jersey, and NPI 1417908468, issued on May 15, 2006. Check the license (New Jersey MB048321, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417908468
Name
Paul J. Simon
Credential
D.O.
Primary taxonomy
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
License number
MB048321 NJ
Self-reported in NPPES; status is on the state search
Practice location
99 Highway 37, Toms River, NJ 08755
Phone
(732) 557-8000
Enumerated
May 15, 2006
Record last updated
Aug 13, 2010 (not updated in 16 years: call before relying on the address or phone)
Medicaid ID
5126401 NJ
Medicare enrollment
Enrolled (PECOS I20051109000411); accepts Medicare assignment
Medical or professional school
Midwestern University, Chicago College Of Osteopathic Med, 1982
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 99 Highway 37

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Maria Black, MSN, APN, FNP-BCFamily Nurse Practitioner1306576822
  2. Brian Bones, MDDiagnostic Radiology Physician1326468422
  3. Ryan Chipman, DOStudent in an Organized Health Care Education/Training Program1316634181
  4. Angela Cicchino, BA, NCPRSSAddiction (Substance Use Disorder) Counselor1730938622
  5. Jamal Cole, MDEmergency Medicine Physician1487340626
  6. Elise Dunning, MDStudent in an Organized Health Care Education/Training Program1982498184

Verify Paul J. Simon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license MB048321
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Jersey license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 95.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score96.5
  2. Costout of 100 · 30%82.6
  3. Promoting interoperabilityout of 100 · 25%99.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Pathlink OF New JerseyFreehold, NJ
  2. Professional Service Fund OF Deborah Heart And Lung CenterBrowns Mills, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Paul J. Simon among 366 anatomic pathology & clinical pathology physician records in New Jersey

Paul J. Simon, D.O. is one of 366 anatomic pathology & clinical pathology physician records with a practice address in New Jersey. 63% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.

  • NPI issued2006 · 9% of these records are older, 45% newer
  • In a Medicare fileYes · 63% of these records are
  • In the CMS Doctors and Clinicians fileYes · 54% of these records are
  • Graduated1982 · median 1994 among the 197 with a school on file
  • Record last updated2010 · 73% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Anatomic Pathology & Clinical Pathology Physician providers in New Jersey

There are 366 anatomic pathology & clinical pathology physician records in New Jersey.

The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes

  1. Mohammad Hafiz, M.D.Toms River, NJ 087551306896964
  2. Ramesh Mahapatro, M.D.Toms River, NJ 087551679523237
  3. Bich Pham, M.D.Toms River, NJ 087551518917178
  4. Icynth Baron Gabriel, M.D.Toms River, NJ 087531104063064
  5. Peter Lapis, M.D.Forked River, NJ 087311164604153
  6. Umberto Coletta, MDBrick, NJ 087241437218641
  7. Chitra Lahoti, MDBrick, NJ 087241598745960
  8. Anis Rangwala, MDBrick, NJ 087241992775928

Common questions

What is Paul J. Simon, D.O.'s NPI number?

Paul J. Simon, D.O.'s National Provider Identifier (NPI) is 1417908468, issued on May 15, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Paul J. Simon, D.O. located?

The NPPES record lists a practice address at 99 Highway 37, Toms River, NJ, 08755. Phone: (732) 557-8000. Providers update this record themselves, so call before visiting.

How can I verify Paul J. Simon, D.O.'s license?

NPPES lists New Jersey license number MB048321, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Paul J. Simon, D.O.'s MIPS final score?

The 2023 MIPS final score is 95.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.