Simon M Cornelissen, MD
Orthopaedic Surgery in North Easton, Massachusetts
1699759415- Practice location
- 15 Roche Bros Way, North Easton, MA 02356
- Phone
- 781-344-3535
- Fax
- 508-535-0192
- Last updated
- April 24, 2026
Simon M Cornelissen is an Orthopaedic Surgery based in North Easton, MA. Simon M Cornelissen practices in North Easton, MA and has the professional credentials of MD. The NPI Number for Simon M Cornelissen is 1699759415 and holds a License No. 208328 (MA). The current practice location address for Simon M Cornelissen is 15 Roche Bros Way, North Easton, MA 02356 and can be reached out via phone at 781-344-3535 and via fax at 508-535-0192.
Provider Profile Details
- NPI Number
- 1699759415
- Provider Name
- Simon M Cornelissen
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 Roche Bros Way, North Easton, MA 02356
- Phone Number
- 781-344-3535
- Fax Number
- 508-535-0192
- Primary Taxonomy
- Orthopaedic Surgery · 207X00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 5, 2005
- Last Update Date
- April 24, 2026
- Certification Date
- April 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Roche Bros Way
North Easton, MA 02356 - City
- North Easton
- State
- Massachusetts
- Zip
- 02356
- Phone Number
- 781-344-3535
- Fax Number
- 508-535-0192
Provider Business Mailing Address Details
- Address
- Po Box 30
Stoughton, MA 02072-0030 - City
- Stoughton
- State
- MA
- Zip
- 02072-0030
- Phone Number
- 781-344-3535
- Fax Number
- 508-535-0192
License Information
- License Number (1)
- 208328
- License State (1)
- MA
- Taxonomy (1)
- Specialist · 174400000X
- License Number (2)
- 208328
- License State (2)
- MA
- Taxonomy (2)
- Orthopaedic Surgery · 207X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Simon M Cornelissen, MD?
The NPI number of Simon M Cornelissen, MD is 1699759415. It was assigned on December 5, 2005 and is currently active in the NPPES registry.
What is the specialty of Simon M Cornelissen, MD?
Simon M Cornelissen, MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in MA under license number 208328.
Where does Simon M Cornelissen, MD practice?
The practice location is 15 Roche Bros Way, North Easton, MA 02356. The office can be reached at 781-344-3535 (phone) or 508-535-0192 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699759415 directly on the NPPES registry website.