Shaun Yvon Beaulieu, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

016904 Issued in NY

Practice address

170 William St
Newyork-Presbyterian/ Lower Manhattan Hospital
New York, NY 10038

Phone

(212) 746-8861

NPI assigned

Sep 12, 2013

Last updated

Sep 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1730454083
  Medicare reassignment NPD
• Yoav Borsuk MD PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1093008278
  Medicare reassignment
• Ageless Men's Health

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1891080800
  NPD (past)
• Ageless Men's Health Holdings, PC Ca

  dba Ageless Men's Health

  • Primary Care Clinic/Center
  • Staten Island, NY
  • NPI 1235581430
  NPD (past)
• Ageless Men's Health PC

  • Nurse Practitioner
  • New York, NY
  • NPI 1679837751
  NPD (past)
• Ageless Men's Health PC

  dba Ageless Men's Health

  • Primary Care Clinic/Center
  • White Plains, NY
  • NPI 1801463401
  NPD (past)
• The Rogosin Institute Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
  • NPI 1043790736
  NPD (past)
• Weill Medical College of Cornell

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1144729385
  NPD (past)
• Ageless Men's Health, Ca, PC

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1447581095
  NPD (past)

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1336574060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 ADAMS ST APT 3",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302670",
            "telephone_number": "845-271-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WILLIAM ST",
            "address_2": "NEWYORK-PRESBYTERIAN/ LOWER MANHATTAN HOSPITAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10038",
            "telephone_number": "212-746-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "SHAUN",
        "middle_name": "YVON",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Anne Beaudoin, MD
• Eve Beaudry Simoneau, MD PHD
• Andrew Beaufort, MD
• Kristina Beauharnais, PA
• Marie-Claude Beaulieu, M.D.
• Jean-Philippe Beaumont, LMSW
• Renae Brooke Beaumont, PHD
• Beauregard Creative Arts Therapy PLLC
• Mark Beauregard, RDT-BCT, LCAT
• Rachel Celestine Beauregard, LMSW

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.