Individual provider Active NPI

Samantha Morgan Bandremer, MD

  • Obstetrics & Gynecology Physician
  • Garden City, NY
National Provider Identifier
1245894864
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
323974 Issued in NY
Practice address
877 Stewart Ave Ste 7
Garden City, NY 11530-4803
Phone
(516) 222-0722
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 323974 NY Primary

Addresses

Primary practice location

877 Stewart Ave Ste 7
Garden City, NY 11530-4803

Mailing address

4101 N Ocean Blvd Apt D809
Boca Raton, FL 33431-5314
Phone (561) 512-6608

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
I20231016000100 NY Practitioner - Obstetrics/Gynecology 4486009297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij OB GYN at Garden City PCGroup PAC ID 5294978516, 11 clinicians

Practice addresses (Care Compare)

877 Stewart Ave
Suite 7
Garden City, NY 11530-4803
Phone (516) 222-0722

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323974NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Lij OB GYN at Garden City PC Obstetrics & Gynecology CurrentSince Aug 30, 2023 Accepting new patients
North Shore Faculty Medical Affiliates, University Faculty Prac Obstetrics & Gynecology Past Accepting new patients

Locations

877 Stewart Ave
Ste 7
Garden City, NY 11530
Phone (516) 222-0722

444 Merrick Rd
Ste 106B
Lynbrook, NY 11563
Phone (516) 222-0722

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: samantha.bandremer.1@1756.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1245894864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 N OCEAN BLVD APT D809",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315314",
            "telephone_number": "561-512-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 STEWART AVE STE 7",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304803",
            "telephone_number": "516-222-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDREMER",
        "first_name": "SAMANTHA",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "323974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.