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Raffaele Charles Simone , PA-C

Physician Assistant - Surgical β€’ Hackensack, NJ

Active NPI 1366332520 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

146 N State Rt 17 Ste 2
Hackensack, NJ 076011071

Call 7329069600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

146 N State Rt 17 Ste 2

Hackensack, NJ 076011071

Telephone 7329069600
Fax 8339742196
Organization at the Same NPPES Address or Phone
Premier Brain And Spine Llc Facility NPI 1417632399

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 4 distinct additional practice-address records in Bayonne, NJ; Clifton, NJ; Edgewater, NJ and 1 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Premier Brain And Spine Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Raffaele Simone has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Raffaele Simone as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Hackensack and New Jersey

25 active clinicians are listed under Physician Assistant - Surgical with a practice address in Hackensack, NJ (558 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hackensack

4% of these 25 clinicians have the CMS telehealth indicator.

72% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-08
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES NJ 25MP00955700
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250915002225

Enrollment State Jurisdiction

NJ

PECOS Control ID

6002319928

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Premier Brain And Spine Llc

11 Ridge Rd, North Arlington, NJ 070316306

Phone: 5519997050

Premier Brain And Spine Llc

922 Main St, Paterson, NJ 075032602

Phone: 7329069600

Premier Brain And Spine Llc

3540 John F Kennedy Blvd, Jersey City, NJ 073073450

Phone: 7329069600

Premier Brain And Spine Llc

7505 Bergenline Ave, North Bergen, NJ 070475459

Phone: 5513408400

Premier Brain And Spine Llc

2500 Morris Ave, Union, NJ 070835675

Phone: 7329069600

Premier Brain And Spine Llc

19 E 27th St, Bayonne, NJ 070024608

Phone: 5519997050

Premier Brain And Spine Llc

2 University Plz, Hackensack, NJ 076016228

Phone: 5513408400

Secondary Practice Locations

935 River Rd

Edgewater, NJ 070202234

Phone: 5519997050

855 Valley Rd Ste 200

Clifton, NJ 070132441

Phone: 5519997050

19 E 27th St

Bayonne, NJ 070024608

Phone: 5519997050

11 Ridge Rd

North Arlington, NJ 070316306

Phone: 5519997050

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

25 listed
NPI 1386629764

Doctor of Chiropractic

Dr. Philip Ceraulo , DO

Physical Medicine & Rehabilitation

NPI 1114180882

Doctor of Osteopathic Medicine (D.O.)

Cristina Depalma

Physician Assistant

NPI 1760841233
Joshua Dumbroff

Anesthesiology - Pain Medicine

NPI 1588126916
Filipe Feiteiro , PA

Physician Assistant - Surgical

NPI 1144399833

Physician Assistant

Dr. Eric Freeman , DO

Physical Medicine & Rehabilitation

NPI 1184720930

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 08, 2025

Registered at 146 N STATE RT 17 STE 2, HACKENSACK, NJ 076011071 (Tel: 7329069600)

πŸ“
Updated Business Mailing Address August 08, 2025

Registered at 90 MATAWAN RD STE 302, MATAWAN, NJ 077472653 (Tel: 7324417177)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2025

Physician Assistant (license number reported to NPPES: NJ 25MP00955700)

βœ…
NPI Profile Active July 08, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2025

Registered at 935 RIVER RD, EDGEWATER, NJ 070202234 (Tel: 5519997050)

πŸ“
Business Mailing Address (Initial Record) July 08, 2025

Registered at 17 COTTONWOOD DR, COMMACK, NY 117252401 (Tel: 6318385588)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2025

Recorded as RAFFAELE SIMONE, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration July 08, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366332520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2025
Last Update: August 08, 2025
Sole Proprietor: No

Other Physician Assistant - Surgicals in Hackensack

All Physician Assistant - Surgicals in Hackensack

Mailing Address

90 Matawan Rd Ste 302

Matawan, NJ 077472653

Phone: 7324417177

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.