Mark Samuel, D.C

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

X8745-1 Issued in NY

Practice address

931 E Boston Post Rd
Mamaroneck, NY 10543-4110

Phone

(914) 777-0097

Fax

(914) 381-3199

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Choice Occupational Therapy P.C.

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1477929552
  NPD (past)
• New York Otolaryngology & Aesthetic Surgery PC

  dba NY Institute of Otolaryngology & Aesthetic Surgery

  • Otolaryngology/Facial Plastic Surgery Physician
  • Brooklyn, NY
  • NPI 1871793992
  NPD (past)
• Tymer Care Chiropractic, PC

  dba TCC

  • Chiropractor
  • Woodmere, NY
  • NPI 1033481098
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144237744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E BOSTON POST RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105434110",
            "telephone_number": "914-777-0097",
            "fax_number": "914-381-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E BOSTON POST RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105434110",
            "telephone_number": "914-777-0097",
            "fax_number": "914-381-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "MARK",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "NY",
            "license": "X8745-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Sadow, MD
• Rosella Marie Salanitro
• Catterin Salinas-Jara
• Kathleen Ann Salius, D.D.S.
• Joseph Michael Sampson, TECHNICIAN
• Roberta Sanjour, LCSW
• Jackelyn Santisteban
• Varona Yvonne Sargent Tangarife, MD
• Sarlin Opticians
• Mara Saumell, LCSW

• Internist Chiropractor in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Internist Chiropractor in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.