Individual provider Active NPI

Marc R Samolsky, M.D.

  • Anesthesiology Physician
  • New Rochelle, NY
National Provider Identifier
1194731331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
202285 Issued in NY
Practice address
60 Guion Place
Sound Shore Medical Center
New Rochelle, NY 10802
Phone
(914) 637-1197
Fax
(914) 637-1627
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 202285 NY Primary

Addresses

Primary practice location

60 Guion Place
Sound Shore Medical Center
New Rochelle, NY 10802

Mailing address

PO Box 270
Massapequa Park, NY 11762-0270
Phone (631) 264-2035

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000770 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 3779505839 Reassigns benefits to 2 organizations
Practice locations: New Rochelle, NY

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Yorkville Endoscopy, LLC CurrentSince Aug 12, 2024 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Jul 11, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jul 11, 2024 Accepting new patients
Ruth B. Kaminer, M.D., P.C. Anesthesiology Past Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

201 E 93rd St
New York, NY 10128
Phone (917) 281-0100

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194731331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GUION PLACE",
            "address_2": "SOUND SHORE MEDICAL CENTER",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10802",
            "telephone_number": "914-637-1197",
            "fax_number": "914-637-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOLSKY",
        "first_name": "MARC",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "202285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.