NPPES file of Aug 9, 2026

Simon Andrew Wallace, MD

Hospice and Palliative Medicine (Internal Medicine) Physician · Marlton, NJ

Simon Andrew Wallace, MD is a hospice and palliative medicine (internal medicine) physician with a practice address in Marlton, New Jersey, and NPI 1437685914, issued on May 3, 2017. Check the license (New Jersey 25MA12907600, 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 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1437685914
Name
Simon Andrew Wallace
Credential
MD
Primary taxonomy
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X
License numbers
25MA12907600 NJ
MD477813 PA
72026 WI
7636-851 WI
Self-reported in NPPES; status is on the state search
Practice location
536 Lippincott Dr, Marlton, NJ 08053
Phone
(856) 355-7155
Enumerated
May 3, 2017
Record last updated
Mar 16, 2026
Fax
(856) 325-4798
Medicare enrollment
Enrolled (PECOS I20251231000032); accepts Medicare assignment
Medical or professional school
Rowan University School Of Osteopathic Medicine, 2017
Telehealth
Offers telehealth (CMS)
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 536 Lippincott Dr

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

  1. Brian Blazovic, MDHospice and Palliative Medicine (Family Medicine) Physician1245729979
  2. Cheyanna Douglas, APNAcute Care Nurse Practitioner1740989680
  3. Lynn Durmala, APNFamily Nurse Practitioner1790152544
  4. Roslyn Hill, APNNurse Practitioner1407310865
  5. Mary Motus, DNP,APRN,FNP-BCNurse Practitioner1902762214
  6. Katelyn O'Hara, LCSWClinical Social Worker1467965269

Verify Simon Andrew Wallace 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 25MA12907600
    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

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Bills Medicare through one group practice

  1. Virtua Medical Group, PACamden, NJ

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

Simon Andrew Wallace among 37 hospice and palliative medicine (internal medicine) physician records in New Jersey

Simon Andrew Wallace, MD is one of 37 hospice and palliative medicine (internal medicine) physician records with a practice address in New Jersey. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 68% of them.

  • NPI issued2017 · 68% of these records are older, 24% newer
  • In a Medicare fileYes · 92% of these records are
  • In the CMS Doctors and Clinicians fileYes · 78% of these records are
  • Graduated2017 · median 2012 among the 29 with a school on file
  • Record last updated2026 · 41% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RH0002X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Hospice and Palliative Medicine (Internal Medicine) Physician providers in New Jersey

There are 37 hospice and palliative medicine (internal medicine) physician records in New Jersey.

The 8 hospice and palliative medicine (internal medicine) physician records with the nearest ZIP codes

  1. Jennifer Chiesa, DOMarlton, NJ 080531154640050
  2. Stephen Goldfine, MDMarlton, NJ 080531578608162
  3. Colleen GrahamMount Laurel, NJ 080541891310033
  4. Sara Pagliaro, DOMount Laurel, NJ 080541679770077
  5. Elizabeth Spina, DOStratford, NJ 080841356879779
  6. Samuel Hardy, M.D.Camden, NJ 081031851714141
  7. Rania Loutfi, MDCamden, NJ 081031265443618
  8. Rengena Chan-Ting, DOPennsauken, NJ 081091326149576

Common questions

What is Simon Andrew Wallace, MD's NPI number?

Simon Andrew Wallace, MD's National Provider Identifier (NPI) is 1437685914, issued on May 3, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Simon Andrew Wallace, MD located?

The NPPES record lists a practice address at 536 Lippincott Dr, Marlton, NJ, 08053. Phone: (856) 355-7155. Providers update this record themselves, so call before visiting.

How can I verify Simon Andrew Wallace, MD's license?

NPPES lists New Jersey license number 25MA12907600, 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.

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.