Active NPI
Samara Carly Badash, PT, DPT
- Physical Therapist
- New Hyde Park, NY
National Provider Identifier
1215407432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042810
- Practice address
- Brookville Center for Children'S Services
1983 Marcus Avenue, Suite E100
New Hyde Park, NY 11042 - Phone
- (516) 497-7600
- NPI assigned
- Nov 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 042810 | NY | Primary |
Addresses
Primary practice location
Brookville Center for Children'S Services
1983 Marcus Avenue, Suite E100
New Hyde Park, NY 11042
Mailing address
41 Ross Ave
Melville, NY 11747-2648
Phone (631) 741-4266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241202001851 | NC | Practitioner - Physical Therapist in Private Practice | 6709311673 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042810 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1215407432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 ROSS AVE",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472648",
"telephone_number": "631-741-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROOKVILLE CENTER FOR CHILDREN'S SERVICES",
"address_2": "1983 MARCUS AVENUE, SUITE E100",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11042",
"telephone_number": "516-497-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADASH",
"first_name": "SAMARA",
"middle_name": "CARLY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-30",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.