Provider Demographics
NPI:1376426528
Name:GILL, SIMONE ELIZABETH (DCES, MPH)
Entity type:Individual
Prefix:
First Name:SIMONE
Middle Name:ELIZABETH
Last Name:GILL
Suffix:
Gender:F
Credentials:DCES, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 N ARLINGTON AVE APT 14D
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-3829
Mailing Address - Country:US
Mailing Address - Phone:848-216-6514
Mailing Address - Fax:
Practice Address - Street 1:76 S ORANGE AVE STE 222
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1923
Practice Address - Country:US
Practice Address - Phone:848-216-6514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty