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

Marissa Rae Simon, NP

Individual provider Nurse Practitioner · NPI 1114643822

Marissa Rae Simon, NP is a Nurse Practitioner in New York, New York. Licensed in Connecticut, District of Columbia, Delaware and Maryland and 5 more. Registered with an NPI since 2022.

Licensed in
CT, DC, DE, MD, NJ, NY
In the registry since
2022
Specialties on file
9
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

633 3rd Ave Rm 9B
New York, NY 10017-0091
Phone: (888) 538-4185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F310799-01 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 15067 (CT)
Nurse Practitioner Taxonomy 363L00000X · Licence SP034926 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence 1142299 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 101.0139275 (VT)
Nurse Practitioner Taxonomy 363L00000X · Licence LP-0010943 (DE)
Nurse Practitioner Taxonomy 363L00000X · Licence R266020 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence NP500018563 (DC)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NJ15066200 (NJ)

Record details

NPI number1114643822
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 13, 2022
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

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