NPIMap

Individual provider Active NPI

Rafaelita B Samala, M.D.

  • Anesthesiology Physician
  • Flushing, NY
National Provider Identifier
1124100268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
141778 Issued in NY
Practice address
3609 Main St
Suite 201
Flushing, NY 11354-6504
Phone
(718) 321-7558
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 141778 NY Primary

Addresses

Primary practice location

3609 Main St
Suite 201
Flushing, NY 11354-6504

Mailing address

PO Box 270
Massapequa Park, NY 11762-0270
Phone (631) 264-2035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141778NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meera Prabhat Physician P.C. Past Accepting new patients
Jackson H. Kuan M.D. LLC Past Accepting new patients
Pain Management Physicians PLLC Past Accepting new patients
CXC Physician, P.C. Anesthesiology Past Accepting new patients
Comprehensive Anesthesia Associates PLLC Anesthesiology Past Accepting new patients
Royal Health Medical, PLLC Past Accepting new patients
Ear, Nose & Throat Associates of New York,P.C. Past Accepting new patients
Integrated Medical Professionals PLLC Past Accepting new patients

Organizations & group practices 8

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124100268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 MAIN ST",
            "address_2": "SUITE 201",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546504",
            "telephone_number": "718-321-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMALA",
        "first_name": "RAFAELITA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "141778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.