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

Dr. Segun V Simon, MD

Individual provider Nephrology Physician · NPI 1194956490

Dr. Segun V Simon, MD is an Internal Medicine in Maplewood, New Jersey. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
23
Licensed in
NJ
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2130 Millburn Ave Ste C-3
Maplewood, NJ 07040-3725
Phone: (973) 996-2727
Fax: (973) 763-2558
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 25MA08683000 (NJ)

Record details

NPI number1194956490
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2009
Last updated in NPPESNovember 22, 2014
Mailing addressPo Box 373, Short Hills, NJ 07078-0373

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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