Active NPI
Samantha Heilig, PT
- Physical Therapist
- Mount Sinai, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046735
- Practice address
- 701 Route 25a Ste B3
Mount Sinai, NY 11766-2050 - Phone
- (631) 751-3000
- NPI assigned
- Dec 21, 2020
- Last updated
- Aug 20, 2024
- 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 | 046735 | NY | Primary |
Addresses
Primary practice location
701 Route 25a Ste B3
Mount Sinai, NY 11766-2050
Mailing address
1 Research Rd
Ridge, NY 11961-2701
Phone (631) 751-3000
Other practice location 1
1500 Route 112 Bldg 4
Port Jefferson Station, NY 11776-8055
Phone (631) 751-3000
Other names 1
- Samantha Young
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Route 112
BLDG 2
Port Jefferson Station, NY 11776-8055
Phone (631) 751-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046735 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients |
Locations
1500 Route 112
Bldg 2
Port Jefferson Station, NY 11776
Phone (631) 828-3400
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
1 Research Rd
Ridge, NY 11961
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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.
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1285220566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RESEARCH RD",
"city": "RIDGE",
"state": "NY",
"postal_code": "119612701",
"telephone_number": "631-751-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 ROUTE 25A STE B3",
"city": "MOUNT SINAI",
"state": "NY",
"postal_code": "117662050",
"telephone_number": "631-751-3000"
}
],
"practiceLocations": [
{
"address_1": "1500 Route 112 Bldg 4",
"address_purpose": "LOCATION",
"city": "Port Jefferson Station",
"state": "NY",
"postal_code": "117768055",
"country_code": "US",
"telephone_number": "631-751-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEILIG",
"first_name": "SAMANTHA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "YOUNG",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mount Sinai, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.