SIMONE JOYCE HAIRSTON RD
NPI 1609353390
Dietitian, Registered in East Orange, NJ

Q: What is Simone Hairston's NPI number?

The NPI number for Simone Hairston is 1609353390. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Q: What is Simone Hairston's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Simone Hairston was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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 July 25, 2018

VA DEPARTMENT OF VETERAN AFFAIRS, 385 TREMONT AVE., EAST ORANGE, NJ 07018(973) 676-1000 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Simone Joyce Hairston Rd NPPES

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

SIMONE JOYCE HAIRSTON RD (NPI 1609353390) is an individual dietitian, registered in East Orange, New Jersey, licensed in New Jersey (86059321) and active in the NPI registry since July 2018. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1609353390

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSIMONE JOYCE HAIRSTONCredential: RD

Location AddressVA DEPARTMENT OF VETERAN AFFAIRS, 385 TREMONT AVE.East Orange, NJ 07018

Mailing Address20 Lowell AveSummit, NJ 07901-1548

Phone(973) 676-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 25, 2018

✔ NPI 1609353390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NJ · 86059321

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

VA DEPARTMENT OF VETERAN AFFAIRS, East Orange, NJ 07018

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simone Joyce Hairston Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082197397

PECOS Enrollment IDI20260316000579

Medicare Billing Reassignment

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

Bsh Health PA

13 mi

Dietitian, Registered

19 W 24TH ST FL 4
New York, NY 10010

Reassigned Medicare billing, New Jersey enrollment
25 clinicians in this Medicare group

NPI 1679303465 (646) 389-5066

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

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 Simone Hairston's NPI number?

The NPI number for Simone Hairston is 1609353390. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Where is Simone Hairston located?

Simone Hairston practices at VA Department Of Veteran Affairs 385 Tremont Ave., East Orange, NJ 07018. The listed phone number is (973) 676-1000.

What is Simone Hairston's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Simone Hairston enrolled in Medicare?

Yes. Simone Hairston is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Simone Hairston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simone Hairston reassigns Medicare benefits to Bsh Health PA (New York, NY). 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 Simone Hairston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simone Hairston accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Simone Hairston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simone Hairston was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.