Mahammed Abdus Samad, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043080 Issued in NY

Practice address

8810 175TH St Ste 1
Jamaica, NY 11432-5570

Phone

(718) 374-3222

Fax

(718) 374-3213

NPI assigned

Sep 16, 2007

Last updated

Mar 1, 2020By the provider in NPPES

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

Electronic endpoints 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1189900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1174719991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 175TH ST STE 1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325570",
            "telephone_number": "718-374-3222",
            "fax_number": "718-374-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 175TH ST STE 1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325570",
            "telephone_number": "718-374-3222",
            "fax_number": "718-374-3213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3920 103rd St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "NY",
            "postal_code": "113682315",
            "country_code": "US",
            "telephone_number": "718-565-5486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMAD",
        "first_name": "MAHAMMED",
        "middle_name": "ABDUS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-16",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://drsamad.setmore.com/",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "address_1": "8810 175th St Ste 1",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114325570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul Salib, MD, DO
• Sami Ahmed Ishag Salih, MD
• Andrez Salkey
• Evan Salvati
• Lumanie Sam, PA
• Samaritan Daytop Village
• Samaritan Daytop Village, Inc.
• Devon Samaroo
• Mahendra Jadunauth Samaroo
• Jennifer Sampson

• General Practice Dentistry in Jamaica, NY
• Providers in Jamaica, 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 Mar 1, 2020; 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.

Verify at the official NPI Registry.