Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Nere Beaudett, DO

Individual provider Family Medicine Physician · NPI 1205240835

Ethan Nere Beaudett, DO is a Family Practice in Rochester, New York. Graduated from University of New England, College of Osteo Medicine in 2014, 12 years ago. Practices with University of Rochester, a 962-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Trained at
University of New England, College of Osteo Medicine
Licensed in
NY
In the registry since
2014
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

738 Library Rd #1
Rochester, NY 14627-0617
Phone: (585) 275-2662
Fax: (585) 276-0149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 290946 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 290946 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205240835
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 11, 2014
Last updated in NPPESJune 30, 2023
Certification dateMay 28, 2020
Mailing address738 Library Road, Po Box 270617, Rochester, NY 14627-0617

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE, SPORTS MEDICINE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2014 (12 years in practice)
Group practice University Of Rochester — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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