Samuel Okonta, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

177073 Issued in NY

Practice address

21714 Merrick Blvd
Laurelton, NY 11413-1917

Phone

(718) 712-1428

Fax

(718) 712-1736

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Emergency MedicineAlso: Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delphi Healthcare PLLCGroup PAC ID 9537229661, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lewis County General Hospital Hospital, Lowville, NY, CCN 331317
• Carthage Area Hospital, Inc Hospital, Ogdensburg, NY, CCN 331324
• Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318
• Cary Medical Center Hospital, Caribou, ME, CCN 200031

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Delphi Healthcare PLLC

  • Emergency Medicine Physician
  • Wellsville, NY
  • NPI 1003075029
  Medicare reassignment Care Compare group NPD
• Med-One Care, LLC

  • Urgent Care Clinic/Center
  • Dix Hills, NY
  • NPI 1497925291

  Emergency Medicine

  Medicare reassignment NPD Authorized official
• Delphi Hospitalist Services LLC

  • Hospitalist Physician
  • Rochester, NY
  • NPI 1922270420
  Medicare reassignment NPD
• Emergency Physician Associates of North Jersey P C

  • Emergency Medicine Physician
  • Summit, NJ
  • NPI 1497783419
  NPD (past)
• Leeds Emergency Physicians

  • Emergency Medicine Physician
  • Atlantic City, NJ
  • NPI 1326248667
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388
  Care Compare affiliation
• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Ogdensburg, NY
  • NPI 1669236261
  Care Compare affiliation
• Carthage Area Hospital, Inc.

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1104234376
  Care Compare affiliation
• Lewis County

  • Rural Acute Care Hospital
  • Lowville, NY
  • NPI 1487689402
  Care Compare affiliation
• Lewis County General Hospital

  • Critical Access Hospital
  • Lowville, NY
  • NPI 1619390838
  Care Compare affiliation
• City of Caribou

  • General Acute Care Hospital
  • Caribou, ME
  • NPI 1780615492
  Care Compare affiliation

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1295772648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21714 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131917",
            "telephone_number": "718-712-1428",
            "fax_number": "718-712-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21714 MERRICK BLVD",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131917",
            "telephone_number": "718-712-1428",
            "fax_number": "718-712-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONTA",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "177073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "125951",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chinedum Obiora
• Sylvia Ocampo
• Ngozi Felicia Offor-Osu
• Theresa Abimbola Ogundipe
• Ann Orieji Okonkwo, DIRECTOR
• Richard Olonimoyo
• Olabisi Olowoyo
• Natasha Orilus, LMSW
• Rolland Orji
• Nadeen Osullivan

• Emergency Medicine Physician in Laurelton, NY
• Providers in Laurelton, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.