DR. SIMON ANDREW WALLACE MD
NPI 1437685914
Internal Medicine - Hospice and Palliative Medicine in Marlton, NJ

Q: What is Simon Wallace's NPI number?

The NPI number for Simon Wallace is 1437685914. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Q: What is Simon Wallace's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Q: When was this NPI record last updated?

The NPPES record for Simon Wallace was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 03, 2017PECOS EnrolledAccepts Medicare Assignment

536 LIPPINCOTT DR, MARLTON, NJ 08053(856) 355-7155(856) 325-4798 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 16, 2026, Jan 8, 2026, Nov 28, 2025 and 4 more (7 updates tracked since 2018).

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About Dr. Simon Andrew Wallace Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIMON ANDREW WALLACE MD (NPI 1437685914) is an individual hospice and palliative medicine provider in Marlton, New Jersey, licensed in New Jersey (25MA12907600) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Rowan University School Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1437685914

Entity TypeIndividualMale

Primary Taxonomy207RH0002X

Provider Legal NameDR. SIMON ANDREW WALLACECredential: MD

Location Address536 LIPPINCOTT DRMarlton, NJ 08053-4805

Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-7155 · Fax (856) 325-4798

Phone(856) 355-7155

Fax(856) 325-4798

Sole ProprietorNo

Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2017

Enumeration DateMay 3, 2017

Last NPPES UpdateMarch 16, 20267 updates tracked since enumeration

NPPES CertifiedMarch 16, 2026

✔ NPI 1437685914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RH0002X

Licenses✔ Licensed in NJ · 25MA12907600✔ Licensed in PA · MD477813

Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 7636-851 (WI), 72026 (WI), 25MA12907600 (NJ)

536 LIPPINCOTT DR, Marlton, NJ 08053

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Simon Andrew Wallace Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991055998

PECOS Enrollment IDI20251231000032

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ

1/5 CMS rating

OwnershipGovernment - State

CMS Certification Number310029

Location1600 Haddon AvenueCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310061

Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County

Emergency services

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN VINCENT BLAZOVIC MD

Family Medicine (Hospice and Palliative Medicine)