Individual provider Active NPI

Samuel S Carr, DPM

  • Podiatrist
  • White Plains, NY
National Provider Identifier
1295898732
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005242-1 Issued in NY
Practice address
3 Barker Ave
2 ND Floor
White Plains, NY 10601-1509
Phone
(914) 949-7900
Fax
(914) 949-1245
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005242-1 NY Primary

Addresses

Primary practice location

3 Barker Ave
2 ND Floor
White Plains, NY 10601-1509

Mailing address

3 Barker Ave
2 ND Floor
White Plains, NY 10601-1509
Phone (914) 949-7900

Other identifiers 1

IdentifierTypeStateIssuer
01643741MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070809000283 NY Practitioner - Podiatry 4688765332 Reassigns benefits to 4 organizations
Practice locations: White Plains, NY; Maspeth, NY; Flushing, NY; Far Rockaway, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005242-1NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Dec 11, 2013 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 13, 2021 Accepting new patients
New York General Medical Services PC CurrentSince Dec 1, 2017 Accepting new patients
Medical Director Services PC CurrentSince May 22, 2018 Accepting new patients
Patient First Medical Practice PC CurrentSince Jul 26, 2023 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
Good Health Medical, P.C. PastSince Feb 10, 1998 Accepting new patients

Locations

3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700

1160 Teller Ave
Bronx, NY 10456
Phone (718) 215-4355

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

28 Kellogg Rd
Cortland, NY 13045
Phone (607) 753-6060

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

100 Miller St
Gowanda, NY 14070
Phone (716) 532-5700

19544 Woodhull Ave
Jamaica, NY 11423
Phone (718) 336-2345

2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

101 Elm St
Sayville, NY 11782
Phone (631) 244-2400

116 Martin Luther King E
Syracuse, NY 13205
Phone (315) 475-1641

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

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

220 W Post Rd
White Plains, NY 10606
Phone (914) 686-8880

3 Barker Ave
Fl 2
White Plains, NY 10601
Phone (914) 618-4200

Interoperability endpoints

  • Direct secure messaging: vte9002@direct.nyp.org

Organizations & group practices 9

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1295898732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BARKER AVE",
            "address_2": "2 ND FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011509",
            "telephone_number": "914-949-7900",
            "fax_number": "914-949-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BARKER AVE",
            "address_2": "2 ND FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011509",
            "telephone_number": "914-949-7900",
            "fax_number": "914-949-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "SAMUEL",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005242-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01643741",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.