Eve Beaudry Simoneau, MD PHD

Primary specialty

Transplant Surgery PhysicianTaxonomy code 204F00000X

License

295181 Issued in NY

Practice address

622 West 168TH Street
PH14-105
New York, NY 10032

Phone

(212) 305-7369

Fax

(212) 305-9139

NPI assigned

Jun 26, 2017

Reactivated

Jul 10, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Eve Simoneau Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1104346675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 WEST 168TH STREET",
            "address_2": "PH14-105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-305-7369",
            "fax_number": "212-305-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 WEST 168TH STREET",
            "address_2": "PH14-105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-305-7369",
            "fax_number": "212-305-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDRY SIMONEAU",
        "first_name": "EVE",
        "name_prefix": "Mrs.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2018-11-01",
        "deactivation_date": "2018-02-01",
        "reactivation_date": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NY",
            "license": "295181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVE",
            "last_name": "SIMONEAU",
            "credential": "MD PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melissa Beauchamp
• Tyler Beauchamp, EDD, NCSP
• Melissa Parsons Beauchemin, RN, MSN
• Samantha Beauchesne, NP
• Michele Anne Beaudoin, MD
• Andrew Beaufort, MD
• Kristina Beauharnais, PA
• Marie-Claude Beaulieu, M.D.
• Shaun Yvon Beaulieu, PHYSICIAN ASSISTANT
• Jean-Philippe Beaumont, LMSW

• Transplant Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Transplant Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.