# JEFFREY H SIMON MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548176035
- **Authorized official:** ALPHONSO JOSIAH NATHAN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (267) 902-9319

## Contact information

- **Practice address:** 8 RABBIT RUN RD, MALVERN, PA 19355-3436
- **Practice address phone:** (610) 220-6916
- **Mailing address:** 8 RABBIT RUN RD, MALVERN, PA 19355-3436
- **Mailing address phone:** (610) 220-6916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | Yes |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2026
- **Last updated:** 10/04/2026