Samaritan Emergency Medical Services, PC

Organization Active NPI Emergency Medicine Physician · West Islip, NY

NPI 1104978014 · NPPES record last updated Aug 31, 2020

Key facts

NPI
1104978014
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
SAMARITAN EMERGENCY MEDICAL SERVICES, PC
Practice address
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone
(631) 376-3000
NPI assigned
Jan 18, 2007
Organization subpart
No

Authorized official

Name
Lorraine Hummel
Title
Administrator
Phone
(631) 465-6001

Practitioners 222

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 222

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070621000503 NY Part B Supplier - Clinic/Group Practice 7012016660 Receives reassigned benefits from 170 practitioners
Practice locations: West Islip, NY

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

1000 Montauk Hwy
West Islip, NY 11795-4927

Mailing address

PO Box 5913
New York, NY 10087-5913
Phone (631) 465-6225

Other providers in West Islip, NY

All providers in West Islip, NY · Emergency Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.