Active NPI
Samantha Lines, PA
- Physician Assistant
- Greenvale, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 30 Glen Cove Rd Ste 1
Greenvale, NY 11548-1060 - Phone
- (516) 469-1965
- NPI assigned
- Jan 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
30 Glen Cove Rd Ste 1
Greenvale, NY 11548-1060
Mailing address
309 N Albany Ave
Massapequa, NY 11758-2115
Phone (516) 469-1965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230828001229 | NY | Practitioner - Physician Assistant | 9638530595 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Island Urgent Care PLLCNorth Shore Lij Urgent Care PC
Practice addresses (Care Compare)
1037 Fulton St
Farmingdale, NY 11735-4700
Phone (631) 576-4190
125 Sunrise Hwy
West Islip, NY 11795-2023
Phone (631) 983-4084
19 W Jericho Tpke
Huntington Station, NY 11746-3627
Phone (631) 604-4022
1950 Jericho Tpke
East Northport, NY 11731-6207
Phone (631) 238-3065
2310 Hempstead Tpke
East Meadow, NY 11554-2035
Phone (516) 346-5090
2640 Merrick Rd
Bellmore, NY 11710-5715
Phone (516) 537-9064
377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061
5145 Nesconset Hwy
Suite 4
Port Jefferson Station, NY 11776-2118
Phone (347) 493-2945
603 E Main St
B
Bay Shore, NY 11706-8505
Phone (631) 238-3064
683 Sunrise Hwy
Lynbrook, NY 11563-3246
Phone (516) 441-2155
98 Jericho Tpke
Commack, NY 11725-3009
Phone (631) 387-4355
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassau Suffolk Medical PLLC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
266 Bangor St
Lindenhurst, NY 11757
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
125 Sunrise Hwy
West Islip, NY 11795
Phone (631) 376-6075
Interoperability endpoints
- samantha.lines@ghuc.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1083365902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 N ALBANY AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117582115",
"telephone_number": "516-469-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 GLEN COVE RD STE 1",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481060",
"telephone_number": "516-469-1965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINES",
"first_name": "SAMANTHA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-12",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenvale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.