Active NPI
Samantha Disador, LCAT
- Drama Therapist
- West Islip, NY
National Provider Identifier
1144720269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Drama Therapist
- License
- 002372-01
- Practice address
- 248 Higbie LN FL 1
West Islip, NY 11795-2828 - Phone
- (631) 867-2501
- NPI assigned
- Feb 15, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Drama Therapist | 101200000X | 002372-01 | NY | Primary |
Addresses
Primary practice location
248 Higbie LN FL 1
West Islip, NY 11795-2828
Mailing address
6619 Burns St
Rego Park, NY 11374-3927
Phone (203) 616-0794
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002372-01 | NY | MD | Drama Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749340800000",
"number": "1144720269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6619 BURNS ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743927",
"telephone_number": "203-616-0794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 HIGBIE LN FL 1",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117952828",
"telephone_number": "631-867-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISADOR",
"first_name": "SAMANTHA",
"credential": "LCAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2025-06-08",
"certification_date": "2025-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": "NY",
"license": "002372-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.