Samantha Jo Farella

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86087288 Issued in NY

Practice address

221 Jericho Tpke
Syosset, NY 11791-4515

Phone

(516) 496-2662

Fax

(516) 496-2763

NPI assigned

Feb 22, 2019

Last updated

Feb 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1033676440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DEFEO CT",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914515",
            "telephone_number": "516-496-2662",
            "fax_number": "516-496-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARELLA",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86087288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott W Evanter, D.C.
• Kathleen Marie Everson, PSY.D.
• F Pacifico PC
• Fredric Fabiano, MD
• Louise Fabietti
• Farshad Lalehzarian MD PC
• Jessica Maria Fasano, LMT, CLT, MLD-C
• Robert William Fasano, LMSW
• Taylor Jean Fasano, FNP
• Kaniz Fatema

• Registered Dietitian in Syosset, NY
• Providers in Syosset, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.