Individual provider Active NPI

Sharyar Daniel Samadi, M.D.

  • Pediatric Otolaryngology Physician
  • Paramus, NJ
National Provider Identifier
1124075460
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
25MA07544200 Issued in NJ
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

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170927000513 NJ Practitioner - Otolaryngology 1153417837 Reassigns benefits to 1 organization

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
Daniel Samadi MD PCGroup PAC ID 7315211570, 2 clinicians

Practice addresses (Care Compare)

10 Forest Ave
Suite 100
Paramus, NJ 07652-5238
Phone (201) 996-1505

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07544200NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Samadi, M.D. PC CurrentSince Oct 10, 2017 Accepting new patients
Hackensack Sleep Center Partners LLC PastSince Feb 2, 2007 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

  • FHIR API: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.