Eos Medical Group PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

249854 Issued in NY

Legal business name

EOS MEDICAL GROUP PC

Practice address

670 Stoneleigh Ave
Carmel, NY 10512-3997

Phone

(845) 279-5711

Fax

(845) 278-5549

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Anthony Sama, MD

Title

President / Ceo

Phone

(845) 216-4666

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1295982742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N WINTER PARK DR",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125336963",
            "telephone_number": "845-216-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 STONELEIGH AVE",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123997",
            "telephone_number": "845-279-5711",
            "fax_number": "845-278-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EOS MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "SAMA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "845-216-4666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "249854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730119926",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simone Ellin
• Empire Performance PT, LLC
• Endure Physical Therapy, PLLC
• Jennifer Ayn Enger, DVM
• Debra Lynn Enkler, PHARMD
• Eos Medical Group PC
• Kimberly Everett
• Adrienne Lucia Fabrizio, D.C.
• Jasmina Fajic-Mattioli
• Allan Howard Farquhar, M.D.

• Emergency Medicine Physician in Carmel, NY
• Providers in Carmel, 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 Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.