Samuel A Banigo, M.D.,

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

25MA07986300 Issued in NJ

Practice address

40 Union Ave
Ste.204
Irvington, NJ 07111-3277

Phone

(973) 416-6981

Fax

(973) 375-5766

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Diana Jenkins Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson Physicians Associates PA 4 clinicians

North Bergen Hospitalists 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carewell Health Medical Center Hospital, East Orange, NJ, CCN 310083
• Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
• Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118
• Grove Park Healthcare and Rehabilitation Center Nursing home, East Orange, NJ, CCN 315147
• Stratford Manor Rehabilitation and Care Center Nursing home, West Orange, NJ, CCN 315066
• Complete Care at Summit Ridge Nursing home, West Orange, NJ, CCN 315038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hudson Physicians Associates,P.a.

  • Internal Medicine Physician
  • Union City, NJ
  • NPI 1457498917

  NJ

  Medicare reassignment Care Compare group NPD
• North Bergen Hospitalists

  • Hospitalist Physician
  • North Bergen, NJ
  • NPI 1689028946

  NJ

  Medicare reassignment Care Compare group NPD
• Eoh Acquisition Group, LLC

  • Primary Care Clinic/Center
  • East Orange, NJ
  • NPI 1578932604

  NJ

  Medicare reassignment NPD
• Hudson Premier Medical PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Secaucus, NJ
  • NPI 1548809221

  NJ

  Medicare reassignment NPD
• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  NJ

  Medicare reassignment NPD
• Eoh Acquisition Group, LLC

  • General Practice Physician
  • East Orange, NJ
  • NPI 1578922258

  NJ

  Medicare reassignment
• Eoh Acquisition Group, LLC

  • General Acute Care Hospital
  • East Orange, NJ
  • NPI 1013386143
  NPD
• Optum Medical Care of New Jersey PC

  • Durable Medical Equipment & Medical Supplies
  • Belleville, NJ
  • NPI 1255050902
  NPD
• Pathology Associates, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • East Orange, NJ
  • NPI 1366460271
  NPD
• A.G. Dikengil, MD, PA

  • Radiology Clinic/Center
  • Lyndhurst, NJ
  • NPI 1205992690
  NPD (past)
• Meadowlands Physicians Professional Association

  • General Practice Physician
  • Secaucus, NJ
  • NPI 1669728283
  NPD (past)
• Newark Beth Israel Medical Center Inc

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488

  Hospital

  Care Compare affiliation
• Eoh Acquisition Group, LLC

  • General Acute Care Hospital
  • East Orange, NJ
  • NPI 1013386143

  Hospital

  Care Compare affiliation
• Njmhmc, LLC

  • General Acute Care Hospital
  • Secaucus, NJ
  • NPI 1710491253

  Hospital

  Care Compare affiliation
• Park Grove Healthcare & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • East Orange, NJ
  • NPI 1982263000

  Nursing home

  Care Compare affiliation
• Stratford Manor Rehabilitation and Care Center LLC

  • Skilled Nursing Facility
  • West Orange, NJ
  • NPI 1912276882

  Nursing home

  Care Compare affiliation
• Summit Ridge Care LLC

  • Skilled Nursing Facility
  • West Orange, NJ
  • NPI 1306318639

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063503555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 INDEPENDENCE DR",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032410",
            "telephone_number": "908-245-3637",
            "fax_number": "973-375-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 UNION AVE",
            "address_2": "STE.204",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113277",
            "telephone_number": "973-416-6981",
            "fax_number": "973-375-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIGO",
        "first_name": "SAMUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA07986300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098256",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "JENKINS",
            "prefix": "MS.",
            "credential": "OFFICE MANAGER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in Irvington, NJ
• Adolescent Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.