MARISSA RAE SIMON NP NPI 1114643822

NPI Information

  • NPI: 1114643822
  • Provider Name: MARISSA RAE SIMON, NP
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • Address: 633 3RD AVE RM 9B
    NEW YORK, NY
    ZIP 10017
  • Phone: (720) 666-4739

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NPI Details

Marissa Rae Simon, NP is a nurse practitioner in New York, NY. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Marissa Rae Simon, NP NPI is 1114643822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

633 3RD AVE RM 9B
NEW YORK, NY
ZIP 10017-091
Phone: (720) 666-4739

The enumeration date for this NPI number is 10/13/2022 and was last updated on 10/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNP500018563DISTRICT OF COLUMBIANo
2363L00000XNurse PractitionerLP-0010943DELAWARENo
3363L00000XNurse PractitionerF310799-01NEW YORKYes
4363L00000XNurse Practitioner1142299TEXASNo
5363L00000XNurse Practitioner26NJ15066200NEW JERSEYNo
6363L00000XNurse PractitionerR266020MARYLANDNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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