Active NPI
Tanyka Sam, M.D.
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 271647
- Practice address
- 8923 Flatlands Ave
Brooklyn, NY 11236-3613 - Phone
- (718) 765-6000
- Fax
- (347) 436-9621
- NPI assigned
- Aug 4, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 271647 | NY | Primary |
Addresses
Primary practice location
8923 Flatlands Ave
Brooklyn, NY 11236-3613
Mailing address
PO Box 746087
Atlanta, GA 30374-6087
Phone (833) 804-1695
Other practice location 1
1249 Nostrand Ave
Brooklyn, NY 11225-3844
Phone (718) 765-6008
Other practice location 2
1530 Bedford Ave Fl 2
Brooklyn, NY 11216-4117
Phone (917) 588-4798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038799100 | Medicaid | MD |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131016000584 | NY | Practitioner - Internal Medicine | 3072796374 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271647 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rushing Waters Medical, PLLC | Internal Medicine | Current | Accepting new patients |
| Oak Street Health of New York Medical Group PC | Internal Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
Locations
8923 Flatlands Ave
Brooklyn, NY 11236
Phone (718) 765-6000
1530 Bedford Ave
Fl 2
Brooklyn, NY 11216
Phone (347) 888-9138
1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020
1530 Bedford Ave
#2
Brooklyn, NY 11216
Phone (347) 404-6508
1530 Bedford Ave
Ste 2
Brooklyn, NY 11216
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- tsam3830768@nychhc.direct-ci.com
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1285465989
Internal Medicine
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1780209445
Internal Medicine
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1164653416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746087",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746087",
"telephone_number": "833-804-1695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8923 FLATLANDS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363613",
"telephone_number": "718-765-6000",
"fax_number": "347-436-9621"
}
],
"practiceLocations": [
{
"address_1": "1249 Nostrand Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112253844",
"country_code": "US",
"telephone_number": "718-765-6008",
"fax_number": "347-682-4219",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1530 Bedford Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112164117",
"country_code": "US",
"telephone_number": "917-588-4798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAM",
"first_name": "TANYKA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-04",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "271647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038799100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.