Individual provider Active NPI

Samantha Anne Relyea, PA-C

  • Physician Assistant
  • Schenectady, NY
National Provider Identifier
1164957072
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020954 Issued in NY
Practice address
1101 Nott St # B5
Schenectady, NY 12308-2425
Phone
(518) 937-0434
NPI assigned
Apr 28, 2017
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020954 NY Primary
Physician Assistant 363A00000X NU

Addresses

Primary practice location

1101 Nott St # B5
Schenectady, NY 12308-2425

Mailing address

124 Rosa Rd
Suite 382
Schenectady, NY 12308
Phone (518) 386-3691

Other practice location 1

124 Rosa Rd
Suite 382
Schenectady, NY 12308
Phone (518) 386-3691

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170913000699 NY Practitioner - Physician Assistant 8224301239 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020954NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Regional Medical , P.C CurrentSince Jun 13, 2024 Accepting new patients
Saratoga Hospital CurrentSince Jun 7, 2024 Accepting new patients
Saratoga Hospital CurrentSince Jun 7, 2024 Accepting new patients
Nathan Littauer Hospital & Nursing Home CurrentSince Feb 12, 2024 Accepting new patients
Scotia Glenville Family Medicine, P.C. Current Accepting new patients
Saratoga Hospital CurrentSince Jun 7, 2024 Accepting new patients
Saratoga Hospital CurrentSince Jun 7, 2024 Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients

Locations

375 Golf Course Rd
Amsterdam, NY 12010
Phone (518) 212-6070

510 Geyser Rd
Ballston Spa, NY 12020
Phone (518) 289-2720

112 Charlton Rd
Charlton, NY 12019
Phone (518) 399-7723

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

15 Maple Dell
Ste 1
Saratoga Springs, NY 12866
Phone (518) 583-7400

24 Hamilton St
Saratoga Springs, NY 12866
Phone (518) 886-5600

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

Interoperability endpoints

  • Direct secure messaging: srelyea.nlh@hixny.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1164957072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ROSA RD",
            "address_2": "SUITE 382",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12308",
            "telephone_number": "518-386-3691",
            "fax_number": "518-386-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST # B5",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082425",
            "telephone_number": "518-937-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Rosa Rd",
            "address_2": "Suite 382",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "12308",
            "country_code": "US",
            "telephone_number": "518-386-3691",
            "fax_number": "518-386-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RELYEA",
        "first_name": "SAMANTHA",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020954",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.