Individual provider Active NPI

Samantha Jeffrey Foong Syuen Sim

  • Nurse Practitioner
  • Brookline, MA
National Provider Identifier
1871306969
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2372492 Issued in MA
Practice address
1285 Beacon St
Brookline, MA 02446-5237
Phone
(617) 751-6205
NPI assigned
Jan 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2372492 MA
Nurse Practitioner 363L00000X RN2372492 MA Primary

Addresses

Primary practice location

1285 Beacon St
Brookline, MA 02446-5237

Mailing address

1285 Beacon St
Brookline, MA 02446-5237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20250623000104 MA Practitioner - Nurse Practitioner 6608388178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

1285 Beacon St
Brookline, MA 02446-5237
Phone (888) 980-0505

71 Needham St
Newton, MA 02461-1663
Phone (857) 598-4460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jan 28, 2026 Accepting new patients
Mass General Brigham Urgent Care LLC Current Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Jun 3, 2025 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

Interoperability endpoints

  • Direct secure messaging: sim.samantha.puc@direct.partners.masshiway.net

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1871306969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465237",
            "telephone_number": "617-751-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIM",
        "first_name": "SAMANTHA",
        "middle_name": "JEFFREY FOONG SYUEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2372492",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2372492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.