Yonathan Shimron
Nurse Practitioner, Psych/Mental Health in Hackensack, NJ. Individual provider (NPI-1).
NPI number1245178342
StatusActive
Last updated in NPPESJul 17, 2026
Details
- NPI
- 1245178342
- Entity type
- Individual (NPI-1)
- Name
- Yonathan Shimron
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2026
- Certification date
- Jul 17, 2026
- Last updated
- Jul 17, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 26NJ15609700 | NJ | Yes |
Practice location
5 Summit AveHackensack, NJ 07601-8503
Phone 201-658-3065
Mailing address
107 Paulin BlvdLeonia, NJ 07605-1221
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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