Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeffrey Lawrence Simon, DPM

Individual provider Podiatrist · NPI 1790728103

Dr. Jeffrey Lawrence Simon, DPM is a Podiatry in Fair Lawn, New Jersey. Graduated from Kent State University College of Podiatric Medicine in 1975, 51 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
51
Trained at
Kent State University College of Podiatric Medicine
Licensed in
NJ
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

28-02 Broadway
Fair Lawn, NJ 07410-3913
Phone: (201) 791-6267
Fax: (201) 791-6667
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 25MD0001075 (NJ)

Record details

NPI number1790728103
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESMarch 21, 2011
Mailing address28-02 Broadway, Fair Lawn, NJ 07410-3913

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fair Lawn