Samar Raza MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SAMAR RAZA MD PLLC

Practice address

211 E 79TH St
New York, NY 10075-0819

Phone

(212) 879-1600

NPI assigned

Sep 19, 2019

Last updated

May 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samar Raza, MD

Title

Owner

Phone

(631) 433-0335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Brian Lee, M.D

  • Hospitalist Physician
  • Bay Shore, NY
  • NPI 1366678864
  Medicare reassignment
• Syed Samar Raza, M.D.

  • Internal Medicine Physician
  • Bay Shore, NY
  • NPI 1285734715
  Medicare reassignment

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1073163143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEWBERRY CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465655",
            "telephone_number": "631-433-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750819",
            "telephone_number": "212-879-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMAR RAZA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "SAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-433-0335",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadi Samaneh, PT
• Abel Samanez
• Sandra Odalia Samaniego, PH.D.
• Samantha Landau DPM LLC
• Samantha Manewitz, LCSW
• Samar Raza MD PLLC
• Stephanie M Samar, PSYD
• Hasitha Milan Samarage, MBBS, MRCS
• Subhanu Samarajiva
• Andjela Samardzic

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.