Active NPI
Jane Samuels, REGISTERED NURSE
- Registered Nurse
- Huntington, NY
National Provider Identifier
1255600375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2982091
- Practice address
- 20 Round Swamp Rd
Huntington, NY 11743-6433 - Phone
- (631) 367-3257
- NPI assigned
- Dec 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2982091 | NY | Primary |
Addresses
Primary practice location
20 Round Swamp Rd
Huntington, NY 11743-6433
Mailing address
20 Round Swamp Rd
Huntington, NY 11743-6433
Phone (631) 367-3257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2982091 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1255600375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ROUND SWAMP RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117436433",
"telephone_number": "631-367-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ROUND SWAMP RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117436433",
"telephone_number": "631-367-3257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "JANE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-19",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "2982091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.