Samantha Rori Shifrin, MS.ED

Primary specialty

ContractorTaxonomy code 171W00000X

License

812042 Issued in NY

Practice address

3040 Judith Dr
Bellmore, NY 11710-5328

Phone

(516) 728-5142

Fax

(212) 988-0936

NPI assigned

Nov 9, 2008

Last updated

May 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Samantha Jankoff Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1033363635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 JUDITH DR",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105328",
            "telephone_number": "212-988-0936",
            "fax_number": "212-988-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 JUDITH DR",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105328",
            "telephone_number": "516-728-5142",
            "fax_number": "212-988-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFRIN",
        "first_name": "SAMANTHA",
        "middle_name": "RORI",
        "credential": "MS.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-09",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "812042",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "812042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "JANKOFF",
            "credential": "MS.ED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caroline Serino
• Eva Susana Serrone, MS, CCC-SLP
• Sherrie Glasser Physical Therapist John Douglas Physical Therapist Ass (Metro Comprehensive Physical Therapy)
• Stephanie Sherwood
• Saurabh H Sheth, RPH
• Catherine Siegel
• Joshua E Siegel, D.C.
• Matthew Jonathan Siegel, DDS
• Silverman & Gott,LLP
• Matthew Silverman, PSY.D.

• Contractor in Bellmore, NY
• Providers in Bellmore, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.