Bibi Faleena Khan Samad, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F311342-01 Issued in NY

Practice address

19605 Dunton Ave
Hollis, NY 11423-1405

Phone

(929) 253-7545

NPI assigned

Oct 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• JDS Medical Services PC

  • Emergency Medicine Physician
  • Englewood, NJ
  • NPI 1174224653

  NY

  Medicare reassignment NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1306668264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19605 DUNTON AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231405",
            "telephone_number": "929-253-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19605 DUNTON AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231405",
            "telephone_number": "929-253-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAD",
        "first_name": "BIBI",
        "middle_name": "FALEENA KHAN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311342-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Rostholder, R.PH
• Avrakham Rubinov, NP
• Karen Maria Ruiz, LMFT
• S & L Med Solutions Inc
• Sajid Malik MD PC
• Angelo Puno Samano
• Mia-Knoll Santos, FNP-BC
• Nasreen Siddiqui Sarfaraz, MD
• Ann Sarner, OTR
• Linda Savino

• Adult Health Nurse Practitioner in Hollis, NY
• Providers in Hollis, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.