Active NPI
Sharyar Daniel Samadi, M.D.
- Pediatric Otolaryngology Physician
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 25MA07544200
- Practice address
- 10 Forest Ave
100
Paramus, NJ 07652-5242 - Phone
- (201) 996-1505
- Fax
- (201) 996-1605
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 25MA07544200 | NJ | Primary |
Addresses
Primary practice location
10 Forest Ave
100
Paramus, NJ 07652-5242
Mailing address
130 W Pleasant Ave
# 304
Maywood, NJ 07607-1335
Phone (201) 996-1505
Other names 1
- Dr. Daniel S Samadi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Johns Hopkins University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Forest Ave
Suite 100
Paramus, NJ 07652-5238
Phone (201) 996-1505
Hospital & facility affiliations
- Hackensack University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07544200 | NJ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Samadi, M.D. PC | Current | Accepting new patients | |
| Hackensack Sleep Center Partners LLC | Past | Accepting new patients |
Locations
130 W Pleasant Ave
Maywood, NJ 07607
Phone (201) 527-6800
10 Forest Ave
Ste 100
Paramus, NJ 07652
Phone (201) 996-1505
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABIFCA/Endpoint/ABIFCA
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Paramus, NJ
- NPI 1205851011
-
- Sleep Disorder Diagnostic Clinic/Center
- Hackensack, NJ
- NPI 1730304189
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1124075460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 W PLEASANT AVE",
"address_2": "# 304",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071335",
"telephone_number": "201-996-1505",
"fax_number": "201-996-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 FOREST AVE",
"address_2": "100",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076525242",
"telephone_number": "201-996-1505",
"fax_number": "201-996-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMADI",
"first_name": "SHARYAR",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "NJ",
"license": "25MA07544200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIEL",
"last_name": "SAMADI",
"middle_name": "S",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.