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

Simon Vichnevetsky, MD

Individual provider Emergency Medicine Physician · NPI 1427020197

Simon Vichnevetsky, MD is an Emergency Medicine Physician in Berkeley Heights, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
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

1 Diamond Hill Rd Summit Medical Group
Berkeley Heights, NJ 07922-2104
Phone: (908) 273-4300
Fax: (908) 277-8779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MA40137 (NJ)

Record details

NPI number1427020197
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 6, 2006
Last updated in NPPESMarch 28, 2008
Mailing address1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922-2104

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