NPIMap

Individual provider Active NPI

Robert Samaniego, M.D

  • Family Medicine Physician
  • Rye, NY
National Provider Identifier
1083632392
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
225580-1 Issued in NY
Practice address
33 Cedar St
Suite 3
Rye, NY 10580-2031
Phone
(914) 481-5106
Fax
(914) 481-5108
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 225580-1 NY Primary

Addresses

Primary practice location

33 Cedar St
Suite 3
Rye, NY 10580-2031

Mailing address

33 Cedar St
Suite 3
Rye, NY 10580-2031
Phone (914) 481-5106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031114000389 NY Practitioner - Family Practice 2062326929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rye Family Practice PCGroup PAC ID 9739355165, 2 clinicians

Practice addresses (Care Compare)

692 W 204TH St
New York, NY 10034-3027
Phone (646) 329-6490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.73 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
225580-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rye Family Practice PC Family Medicine CurrentSince Jan 13, 2011 Accepting new patients
Highland View Care Center Operating Co LLC Past Accepting new patients
Southern Westchester Nephrology PLLC Past Accepting new patients
Westbrook Medical Associates PC Past Accepting new patients
Hudson View Care Center Inc. Past Accepting new patients
Rye Family Medicine PC Family Medicine Past Accepting new patients
Tcprnc, LLC Past Accepting new patients
Jopal Bronx LLC Past Accepting new patients
Yonkers Gardens, LLC Past Accepting new patients
Manhattanville SBV LLC Past Accepting new patients
Fieldston Lodge Care Center Past Accepting new patients
Nirav Patel Medical PC Past Accepting new patients

Locations

75 Lake Rd
Ste A
Congers, NY 10920
Phone (914) 729-7999

692 W 204th St
New York, NY 10034
Phone (212) 942-3369

33 Cedar St
Ste 3
Rye, NY 10580
Phone (914) 481-5106

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1083632392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CEDAR ST",
            "address_2": "SUITE 3",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802031",
            "telephone_number": "914-481-5106",
            "fax_number": "914-481-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CEDAR ST",
            "address_2": "SUITE 3",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802031",
            "telephone_number": "914-481-5106",
            "fax_number": "914-481-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMANIEGO",
        "first_name": "ROBERT",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "225580-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.