Individual provider Active NPI

Reza N Samad, M.D.

  • Neurocritical Care Physician
  • Long Island City, NY
National Provider Identifier
1265674683
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
260010 Issued in NY
Practice address
2510 30TH Ave
Long Island City, NY 11102-2448
Phone
(212) 241-6500
NPI assigned
Mar 31, 2009
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA10221400 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 260010 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA10221400 NJ
Pulmonary Disease Physician 207RP1001X 25MA10221400 NJ
Pulmonary Disease Physician 207RP1001X 260010 NY
Neurocritical Care Physician 2084A2900X 260010 NY Primary

Addresses

Primary practice location

2510 30TH Ave
Long Island City, NY 11102-2448

Mailing address

1 Gustave L. Levy Place
Box 1264
New York, NY 10029-6504
Phone (212) 241-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, DE, WV, GA, PA, CA, IN, CT, OH, VA, TX13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20140227001869 NY Practitioner - Internal Medicine 4284877622 Reassigns benefits to 8 organizations
I20200706000830 NJ Practitioner - Critical Care (Intensivists) 4284877622 Reassigns benefits to 2 organizations
I20221013001848 DE Practitioner - Critical Care (Intensivists) 4284877622 Reassigns benefits to 1 organization
I20221020002103 WV Practitioner - Critical Care (Intensivists) 4284877622 Reassigns benefits to 1 organization
I20221109000684 GA Practitioner - Critical Care (Intensivists) 4284877622 Reassigns benefits to 3 organizations
I20230320000789 PA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4284877622 Reassigns benefits to 1 organization
I20230324000710 CA Practitioner - Pulmonary Disease 4284877622
I20230719000330 IN Practitioner - Internal Medicine 4284877622 Reassigns benefits to 1 organization
I20230802000533 CT Practitioner - Critical Care (Intensivists) 4284877622 Reassigns benefits to 1 organization
I20231010000285 OH Practitioner - Critical Care (Intensivists) 4284877622 Reassigns benefits to 1 organization
I20240103001181 VA Practitioner - Critical Care (Intensivists) 4284877622 Reassigns benefits to 1 organization
I20240103003291 NY Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - NeurologyPractitioner - Pulmonary DiseasePractitioner - Neuropsychiatry 4284877622 Reassigns benefits to 2 organizations
I20260326001258 TX Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 4284877622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Neurology, Neuropsychiatry, Pulmonary Disease
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Critical Care Medical Management Associates PLLCGroup PAC ID 4880844521, 30 clinicians
Kivo Medical FL, PLLCGroup PAC ID 9830559855, 2 clinicians
Kivo Medical Ca PCGroup PAC ID 4587034749, 3 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504

13620 38TH Ave
Flushing, NY 11354-4277
Phone (212) 241-6591

2510 30TH Ave
Long Island City, NY 11102-2448
Phone (718) 932-1000

2520 30TH Ave
Astoria, NY 11102-2448
Phone (212) 241-9410

410 E 57TH St
New York, NY 10022-3059
Phone (845) 702-2711

410 E 57TH St
Apt 1C
New York, NY 10022-3793
Phone (707) 512-9401

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Apr 22, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
St. Joseph's Physician Health, P.C. Internal Medicine CurrentSince Sep 5, 2017 Accepting new patients
Critical Care Medical Management Associates PLLC Critical Care Medicine CurrentSince Feb 1, 2026 Accepting new patients
Icahn School of Medicine at Mount Sinai Critical Care Medicine CurrentSince Nov 21, 2023 Accepting new patients
Nuvoair Medical PC Pulmonary Disease CurrentSince Dec 13, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Apr 1, 2020 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Apr 22, 2024 Accepting new patients
Sound Physicians Intensivists of Georgia PC Critical Care Medicine CurrentSince Oct 26, 2022 Accepting new patients
Hospitalist Medicine Physicians of West Virginia- TCG PLLC Internal Medicine CurrentSince Sep 14, 2022 Accepting new patients
Hospitalist Medicine Physicians of Ohio - Fairfield Professional Cor Critical Care Medicine CurrentSince Sep 1, 2023 Accepting new patients
Critical Care Physicians of Illinois LLC Critical Care Medicine CurrentSince Jun 13, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Critical Care Medicine CurrentSince Oct 24, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Sound Physicians Intensivists of Virginia LLC Critical Care Medicine CurrentSince Nov 19, 2023 Accepting new patients
Rwjbh Observation Associates LLC Internal Medicine CurrentSince Oct 22, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 24, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Hospitalist Medicine Physicians of Delaware, PA Critical Care Medicine CurrentSince Sep 14, 2022 Accepting new patients
Hospitalist Medicine Physicians of Connecticut - TCS Internal Medicine CurrentSince Jun 18, 2023 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
St Josephs Medical PC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Critical Care Physicians of Pennsylvania PC Critical Care Medicine CurrentSince Dec 6, 2022 Accepting new patients
North Medical PC Internal Medicine Current Accepting new patients
Mount Sinai Hospital Past Accepting new patients
St Josephs Hospital Health Center Past Accepting new patients
Cogent Medical Care PC Internal Medicine PastSince Sep 5, 2016 Accepting new patients

Locations (25 of 36)

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

640 S State St
Dover, DE 19901
Phone (302) 744-4700

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 704-4342

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

801 N State St
Greenfield, IN 46140
Phone (317) 462-5544

50 Milk St
Fl 16
Boston, MA 02109
Phone (617) 213-0335

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

377 Jersey Ave
Ste 470
Jersey City, NJ 07302
Phone (201) 216-9791

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

13620 38th Ave
Flushing, NY 11354
Phone (718) 353-7701

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

10 Union Sq E
#3
New York, NY 10003
Phone (212) 420-4145

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

510 Clinton Sq
Rochester, NY 14604
Phone (561) 208-1970

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rsamad46147@epicdirect.rwjbh.org

Organizations & group practices 34

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 34

Hospital & facility affiliations 6

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1265674683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L. LEVY PLACE",
            "address_2": "BOX 1264",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-241-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 30TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111022448",
            "telephone_number": "212-241-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAD",
        "first_name": "REZA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10221400",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "260010",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA10221400",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA10221400",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "260010",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "NY",
            "license": "260010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.