Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Raffaele Charles Simone, PA-C

Individual provider Surgical Physician Assistant · NPI 1366332520

Mr. Raffaele Charles Simone, PA-C is a Physician Assistant in Hackensack, New Jersey. Qualified in 2025, 1 year ago. Practices with Premier Brain and Spine LLC, a 132-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

146 N State Rt 17 Ste 2
Hackensack, NJ 07601-1071
Phone: (732) 906-9600
Fax: (833) 974-2196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 19 E 27th St, Bayonne, NJ 07002-4608 — (551) 999-7050
  • 855 Valley Rd Ste 200, Clifton, NJ 07013-2441 — (551) 999-7050
  • 935 River Rd, Edgewater, NJ 07020-2234 — (551) 999-7050
  • 11 Ridge Rd, North Arlington, NJ 07031-6306 — (551) 999-7050

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00955700 (NJ)

Record details

NPI number1366332520
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 8, 2025
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Premier Brain And Spine Llc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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