Individual provider Active NPI

Joy M Samanich, MD

  • Clinical Genetics (M.D.) Physician
  • Armonk, NY
National Provider Identifier
1285710137
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
235588 Issued in NY
Practice address
1 Hunter Ave Ste a
Armonk, NY 10504-2025
Phone
(914) 236-0336
Fax
(914) 940-0330
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 235588 NY
Clinical Genetics (M.D.) Physician 207SG0201X 235588 NY Primary

Addresses

Primary practice location

1 Hunter Ave Ste a
Armonk, NY 10504-2025

Mailing address

1 Hunter Ave Ste a
Armonk, NY 10504-2025
Phone (914) 236-0336

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
I20070130000501 NY Practitioner - Pediatric MedicinePractitioner - Medical Genetics and Genomics 0648271858 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Pediatrics CurrentSince Nov 20, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Nov 20, 2017 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

Organizations & group practices 4

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1285710137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTER AVE STE A",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105042025",
            "telephone_number": "914-236-0336",
            "fax_number": "914-940-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTER AVE STE A",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105042025",
            "telephone_number": "914-236-0336",
            "fax_number": "914-940-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMANICH",
        "first_name": "JOY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "235588",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NY",
            "license": "235588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Armonk, NY

Sources for this page

Verify at the official NPI Registry.