Simon Andrew Wallace, MD
NPI 1437685914ActiveIndividual· Internal Medicine, Hospice and Palliative Medicine· Marlton, NJ
Internal Medicine, Hospice and Palliative Medicine (MD) in Marlton, New Jersey, trained at Rowan University School of Osteopathic Medicine (class of 2017). Enrolled in Medicare as practitioner - hospice/palliative care.
Overview
| NPI | 1437685914 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 3, 2017 |
| Last updated in NPPES | Mar 16, 2026 |
| Certified by provider | Mar 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine Primary | 207RH0002X | 25MA12907600 | NJ |
| Physical Medicine & Rehabilitation | 208100000X | 7636-851 | WI |
| Physical Medicine & Rehabilitation | 208100000X | 72026 | WI |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | MD477813 | PA |
| Physical Medicine & Rehabilitation | 208100000X | 25MA12907600 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospice/Palliative Care (NJ) |
|---|
Education and affiliations
| Medical school | Rowan University School of Osteopathic Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Hospice/Palliative Care |
| Telehealth | Offers telehealth |
Medical group
- Virtua Medical Group, PACherry Hill, NJ · 1,688 clinicians
Hospital affiliations
- Virtua Our Lady of Lourdes HospitalCamden, NJ
- Virtua Willingboro HospitalWillingboro, NJ
- West Jersey HospitalVoorhees, NJ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine, Hospice and Palliative Medicine providers in Marlton
- 1154640050
- 1578608162
All Internal Medicine, Hospice and Palliative Medicine providers in New Jersey →