Individual provider Active NPI

Samantha Lines, PA

  • Physician Assistant
  • Greenvale, NY
National Provider Identifier
1083365902
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 1355636440, 17 clinicians
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Nassau Suffolk Medical PLLC CurrentSince Oct 1, 2025 Accepting new patients
New York University CurrentSince Oct 3, 2023 Accepting new patients
New York University CurrentSince Oct 3, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.