NPIMap

Organization Active NPI

Samala R Swamy, MD, PC

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1003067091
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
235231 Issued in NY
Legal business name
SAMALA R SWAMY, MD, PC
Practice address
1366 Victory Blvd
Suite B
Staten Island, NY 10301-3907
Phone
(718) 442-8351
Fax
(718) 442-0073
NPI assigned
Oct 8, 2008
Last updated
Jan 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Dr. Samala R Swamy, MDNPI 1447227509
Title
MD
Phone
(718) 442-8351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 235231 NY Primary

Addresses

Primary practice location

1366 Victory Blvd
Suite B
Staten Island, NY 10301-3907

Mailing address

1366 Victory Blvd
Suite B
Staten Island, NY 10301-3907
Phone (718) 442-8351

National Provider Directory

National Provider Directory

Locations

1366 Victory Blvd
Ste B
Staten Island, NY 10301
Phone (718) 442-8351

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1003067091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 VICTORY BLVD",
            "address_2": "SUITE B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013907",
            "telephone_number": "718-442-8351",
            "fax_number": "718-442-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 VICTORY BLVD",
            "address_2": "SUITE B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013907",
            "telephone_number": "718-442-8351",
            "fax_number": "718-442-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMALA R SWAMY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "SWAMY",
        "authorized_official_first_name": "SAMALA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-442-8351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "235231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.