Nada Samra, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11807 Issued in NC

Practice address

1 River PL Apt 1516
New York, NY 10036-4371

Phone

(917) 399-4447

NPI assigned

Jun 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Nada Mohamed Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1134788706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVER PL APT 1516",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364371",
            "telephone_number": "917-399-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVER PL APT 1516",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364371",
            "telephone_number": "917-399-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMRA",
        "first_name": "NADA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADA",
            "last_name": "MOHAMED",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Allison Sampson, NP
• Melissa Sampson, MSPT
• Natasha Sampson, LMHC
• Amandip Samra, FNP-BC
• Liron Samra, DDS
• Shefali Samrai, PH.D.
• Eliana Samson McClain, LMSW
• Cesar Michael Arenas Samson, M.D.
• Jaimee Samson, M.S. CCC-SLP
• Jan Vincent Samson, MSN, NP

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.