Sima Thaler-Phillip, P.A.
NPI 1699944033 · Medical Physician Assistant · Toms River, NJ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sima Thaler-Phillip, P.A. is a Medical Physician Assistant provider in Toms River, NJ (NPI 1699944033).
Provider details
- NPI number
- 1699944033
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 012389 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
57 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Telephone Medical Discussion With Physician, 5-10 Minutes99441 | 42 | $49 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 15 | $79 |
Typical Medicare-allowed amounts for these services range $49–$79 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Clonazepam | 15 |
| Ciprofloxacin Hcl | 12 |
| Escitalopram Oxalate | 12 |
| Lamotrigine | 12 |
| Azithromycin | 11 |
| Quetiapine Fumarate | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-28
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Frequently asked questions
- What is Sima Thaler-Phillip's NPI number?
- Sima Thaler-Phillip's National Provider Identifier (NPI) is 1699944033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sima Thaler-Phillip's specialty?
- Sima Thaler-Phillip is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sima Thaler-Phillip located?
- Sima Thaler-Phillip's practice location on file with NPPES is 1815 Lakewood Rd Ste 248, Toms River, NJ 08755-1671.
- What is Sima Thaler-Phillip's phone number?
- The practice phone number listed in the NPPES registry for Sima Thaler-Phillip is (732) 455-9688.
- Does Sima Thaler-Phillip accept Medicare?
- Sima Thaler-Phillip is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sima Thaler-Phillip's NPI active?
- Yes — Sima Thaler-Phillip's NPI (1699944033) is active in the NPPES registry as of the last update on 2025-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.