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

Simone Sebban

Individual provider Physician Assistant · NPI 1750924379

Simone Sebban is a Physician Assistant in Holmdel, New Jersey. Qualified in 2019, 7 years ago. Practices with Lakewood Resource and Referral Center Inc, a 107-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2019
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Practice location Address checks out

34 Main St
Holmdel, NJ 07733-2106
Phone: (732) 320-9196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00546700 (NJ)

Record details

NPI number1750924379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 27, 2019
Last updated in NPPESMay 15, 2020
Certification dateMay 15, 2020
Mailing address34 Main St, Holmdel, NJ 07733-2106

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lakewood Resource And Referral Center Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Holmdel