Individual provider Active NPI

Risa Cheryl Samuels, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oakland Gardens, NY
National Provider Identifier
1063471472
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
040378 Issued in NY
Practice address
61-17 220TH St
Oakland Gardens, NY 11364-2244
Phone
(718) 225-3050
Fax
(718) 225-5609
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 040378 NY Primary

Addresses

Primary practice location

61-17 220TH St
Oakland Gardens, NY 11364-2244

Mailing address

61-17 220TH St
Oakland Gardens, NY 11364-2244
Phone (718) 225-3050

Other identifiers 1

IdentifierTypeStateIssuer
01180501MedicaidNY

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

State licenses

LicenseStateTypeSpecialty
040378NYMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: rsamuels89752@direct.medisys.org

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063471472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61-17 220TH ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642244",
            "telephone_number": "718-225-3050",
            "fax_number": "718-225-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61-17 220TH ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642244",
            "telephone_number": "718-225-3050",
            "fax_number": "718-225-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "RISA",
        "middle_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "040378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01180501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.