Active NPI
Samantha Diane Anderer, PA-C, MS
- Physician Assistant
- North Bellmore, NY
National Provider Identifier
1033058326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 035626
- Practice address
- 2374 Jerusalem Ave
North Bellmore, NY 11710-1825 - Phone
- (516) 409-8311
- NPI assigned
- Mar 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 035626 | NY | Primary |
Addresses
Primary practice location
2374 Jerusalem Ave
North Bellmore, NY 11710-1825
Mailing address
40 Carriage Dr
Kings Park, NY 11754-2809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035626 | NY | MD | Speech-Language Pathologist |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FJFADA/Endpoint/FJFADA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1033058326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 CARRIAGE DR",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117542809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2374 JERUSALEM AVE",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117101825",
"telephone_number": "516-409-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERER",
"first_name": "SAMANTHA",
"middle_name": "DIANE",
"credential": "PA-C, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-25",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "035626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.