Samanta Carroll

Primary specialty

SpecialistTaxonomy code 174400000X

License

802314 Issued in NY

Practice address

217 Sears Rd
West Islip, NY 11795-2918

Phone

(631) 335-0251

NPI assigned

Nov 28, 2023

Last updated

Nov 28, 2023By 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": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1063288439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SEARS RD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952918",
            "telephone_number": "631-335-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SEARS RD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952918",
            "telephone_number": "631-335-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "SAMANTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "802314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Carneiro, PA
• Carnese Associates
• Karyn Ann Carpenter, FNP-C
• Paul Armand Carpentier, M.D., CFCMC
• Anthony J Carrino, DC
• Erin L Carter, DO
• Timothy Carter, M.D.
• Jan Mark Casco, MT-BC, LCAT
• Constance Castaneda, SLP
• Tracey Castelli

• Specialist in West Islip, NY
• Providers in West Islip, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.