Active NPI
Lena S Samuel, MD
- Family Medicine Physician
- South Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA10326700
- Practice address
- 20 Valley St Ste 320
South Orange, NJ 07079-2881 - Phone
- (973) 313-1113
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA10326700 | NJ | Primary |
Addresses
Primary practice location
20 Valley St Ste 320
South Orange, NJ 07079-2881
Mailing address
20 Valley St Ste 320
South Orange, NJ 07079-2881
Phone (973) 313-1113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2265 3Rd Ave
New York, NY 10035-2231
Phone 2122896650206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Medical & Dental Center Inc | Current | Accepting new patients | |
| Prosper Family Health | Family Medicine | Current | Accepting new patients |
| Suny Downstate Medical Center | Past | Accepting new patients | |
| East Harlem Council for Human Services Inc | Past | Accepting new patients |
Locations
425 Westchester Ave
Bronx, NY 10455
Phone (347) 343-0568
260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855
228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436
2315 3rd Ave
New York, NY 10035
Phone (212) 369-5566
Organizations & group practices 4
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.
-
- Community Health Clinic/Center
- New York, NY
- NPI 1467486449
-
- Health Service Clinic/Center
- Brooklyn, NY
- NPI 1144399098
-
- Family Medicine Physician
- Palisades, NY
- NPI 1326994690
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1124289095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 VALLEY ST STE 320",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070792881",
"telephone_number": "973-313-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 VALLEY ST STE 320",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070792881",
"telephone_number": "973-313-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "LENA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA10326700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.