Samara Spring Churgin Medical Doctor Professional Corporation

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

240889 Issued in NY

Legal business name

SAMARA SPRING CHURGIN MEDICAL DOCTOR PROFESSIONAL CORPORATION

Practice address

400 W Main St Ste 120
Babylon, NY 11702-3009

Phone

(631) 661-0202

Fax

(631) 661-0559

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Samara Spring Churgin, MDNPI 1356518286

Title

President

Phone

(631) 661-0202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samara Spring Churgin, M.D.

  • Plastic Surgery Physician
  • Babylon, NY
  • NPI 1356518286
  Medicare reassignment NPD Authorized official
• Ehab Sabry Hanna, M.D.

  • Hospitalist Physician
  • Bay Shore, NY
  • NPI 1003125485
  NPD (past)
• Kathleen M. Makarius, PA

  • Physician Assistant
  • Bay Shore, NY
  • NPI 1851325476
  NPD (past)
• Yama Qaderi, P.A

  • Surgical Physician Assistant
  • Miller Place, NY
  • NPI 1558525543
  NPD (past)

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1063712834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 120",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "631-661-0202",
            "fax_number": "631-661-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 120",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "631-661-0202",
            "fax_number": "631-661-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARA SPRING CHURGIN MEDICAL DOCTOR PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "CHURGIN",
        "authorized_official_first_name": "SAMARA",
        "authorized_official_middle_name": "SPRING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-661-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "240889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Sadousky, LMSW
• Sheila Saint-Louis, LPN
• Roseanne Salerno
• Ayumi Keith Espino Salvatore
• Robin Salzman, RN
• Samaritan Pediatric Services, P.C.
• Jenifer Sandoval, MSED
• Jennifer Saville
• Savitri Singh, MD PC
• Nicole Scala

• Plastic and Reconstructive Surgery Physician in Babylon, NY
• Providers in Babylon, NY by specialty
• Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.