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

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: November 08, 2026.

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

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 maintains 2 additional practice locations.

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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Secondary Practice Locations 2

Location 13900 Woodland AvePhiladelphia, PA 19104-4551 · Phone (215) 266-6352
Location 21 Brace Rd Ste C5Cherry Hill, NJ 08034-2600 · Phone (856) 355-7155 · Fax (856) 325-4798

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Simon Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virtua Medical Group, PA
0.4 mi
Urgent Care
401 YOUNG AVE STE 180 FRONT
Moorestown, NJ 08057
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1184174849 (856) 291-8600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
536 LIPPINCOTT DR
MARLTON, NJ 08053
Burlington County (856) 355-7155
ROSLYN MARIE HILL APN
Nurse Practitioner
536 LIPPINCOTT DR
MARLTON, NJ 08053
Burlington County (856) 355-7155
KATELYN MARIE O'HARA LCSW
Social Worker (Clinical)
536 LIPPINCOTT DR
MARLTON, NJ 08053
Burlington County (856) 355-7155
CHEYANNA B. DOUGLAS APN
Nurse Practitioner (Acute Care)
536 LIPPINCOTT DR
MARLTON, NJ 08053
Burlington County (856) 355-7155
LYNN N. DURMALA APN
Nurse Practitioner (Family)
536 LIPPINCOTT DR
MARLTON, NJ 08053
Burlington County (856) 355-7155
MARY E MOTUS DNP,APRN,FNP-BC
Nurse Practitioner
536 LIPPINCOTT DR
MARLTON, NJ 08053
Burlington County (856) 355-7155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Simon Wallace located?

Simon Wallace practices at 536 Lippincott Dr, Marlton, NJ 08053. The listed phone number is (856) 355-7155.

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.

Is Simon Wallace enrolled in Medicare?

Yes. Simon Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Simon Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simon Wallace reassigns Medicare benefits to Virtua Medical Group, PA (Moorestown, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Simon Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Simon Wallace affiliated with any hospitals?

According to CMS data, Simon Wallace is affiliated with West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital and Virtua Willingboro Hospital.

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 7 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.