Individual provider Active NPI

Parbhu Dyal Samaroo, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1275827735
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335877-1 Issued in NY
Practice address
280 Quincy Ave
Bronx, NY 10465-3220
Phone
(718) 822-5357
NPI assigned
Jun 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F335877-1 NY Primary

Addresses

Primary practice location

280 Quincy Ave
Bronx, NY 10465-3220

Mailing address

280 Quincy Ave
Bronx, NY 10465-3220
Phone (718) 822-5357

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000005 NY Practitioner - Nurse Practitioner 8224205265 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F335877-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC CurrentSince Dec 11, 2013 Accepting new patients
Vocational Instruction Project Community Services Inc CurrentSince May 28, 2018 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Dec 11, 2013 Accepting new patients
Vocational Instruction Project Community Services Inc PastSince Jun 21, 2020 Accepting new patients

Locations

770 E 176th St
Fl 4
Bronx, NY 10460
Phone (718) 583-5150

770 E 176th St
Fl 2
Bronx, NY 10460
Phone (718) 583-5150

1910 Arthur Ave
Bronx, NY 10457
Phone (718) 466-8961

770 E 176th St
Bronx, NY 10460
Phone (718) 466-8034

111 E 210th St
Bronx, NY 10467

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

3 Barker Ave
Fl 4
White Plains, NY 10601
Phone (914) 949-7900

Networks

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

Interoperability endpoints

  • Direct secure messaging: parbhu.samaroo@vipcs.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1275827735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 QUINCY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653220",
            "telephone_number": "718-822-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 QUINCY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653220",
            "telephone_number": "718-822-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAROO",
        "first_name": "PARBHU",
        "middle_name": "DYAL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335877-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.