Samissett Humane Services

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

SAMISSETT HUMANE SERVICES

Practice address

179B Court St
Newark, NJ 07103-3824

Phone

(347) 727-8452

NPI assigned

Jun 20, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Funmilayo Theresa Oyibo-Ebije, EO

Title

Director

Phone

(516) 503-8790

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1063906212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LAKESIDE DR",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751829",
            "telephone_number": "516-806-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179B COURT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033824",
            "telephone_number": "347-727-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMISSETT HUMANE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "OYIBO-EBIJE",
        "authorized_official_first_name": "FUNMILAYO",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-503-8790",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EO"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asha Samant, DMD
• Arun K. Samanta, M.D.
• Samaritan Medical
• Samaritan Medical
• Justin Todd Sambol, MD
• Adeena Samoni
• Yashasvini Sampathkumar
• Keisha Samuel
• Kim S Samuel, LPC
• Ramez Wadie Samuel, M.D.

• Supports Brokerage Agency in Newark, NJ
• Providers in Newark, NJ by specialty
• Supports Brokerage Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.