John Samuel, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

009777 Issued in NY

Practice address

234 E 149TH St
Bronx, NY 10451-5504

Phone

(718) 579-5900

NPI assigned

Dec 8, 2006

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

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Physician of New York-Hartsdale PLLCGroup PAC ID 8628253697, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Urgent Care Physician of New York-Hartsdale PLLC

  dba Afc Urgent Care

  • Urgent Care Clinic/Center
  • Bronx, NY
  • NPI 1770885808
  Medicare reassignment Care Compare group
• Montefiore New Rochelle Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1295163244
  Medicare reassignment
• Pharma Holding Inc

  dba Kent Pharmacy

  • Pharmacy
  • Brooklyn, NY
  • NPI 1396153680
  NPD (past)
• Sound Shore Physician Services

  • Clinic/Center
  • New Rochelle, NY
  • NPI 1689883068
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215096714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 KIMBALL TER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043058",
            "telephone_number": "914-376-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "009777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Lashae Sampson, LMFT
• Edna Joyce Sams, LMSW
• Samsak Pharmacy Corp (wellcare pharmacy)
• Mary Jane Garcia Samson
• Ruth Tadesse Samson, MD
• Joice Samuel, M.D.
• Jordan Samuel, DPT
• Joshua M Samuel
• Little Ann Samuel
• Miryam Samuel

• Surgical Physician Assistant in Bronx, NY
• Providers in Bronx, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.