Delmon James I Samala, NP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26NJ15124000 Issued in NJ

Practice address

466 Old Hook Rd
Emerson, NJ 07630-1396

Phone

(201) 342-4004

NPI assigned

Aug 24, 2024

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

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fairlawn Behavioral Associates LLCGroup PAC ID 9638485329, 6 clinicians

Practice addresses (Care Compare)

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.

• Fairlawn Behavioral Associates LLC

  • Prescribing (Medical) Psychologist
  • Fair Lawn, NJ
  • NPI 1861876419
  Medicare reassignment Care Compare group NPD
• Samala Integrative Psych LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1528918547

  NJ

  Medicare reassignment NPD Authorized official
• Samala Integrative Psych LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fair Lawn, NJ
  • NPI 1013844414
  NPD Authorized official
• Integrative Psychiatry

  • Psychiatry Physician
  • New York, NY
  • NPI 1205395779
  NPD (past)

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1326871286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 7TH AVE APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157331",
            "telephone_number": "201-449-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 OLD HOOK RD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301396",
            "telephone_number": "201-342-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMALA",
        "first_name": "DELMON JAMES",
        "middle_name": "I",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "26NJ15124000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Rusch, PT, DPT, PCS
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• Craig Salizzoni, DMD
• Jake Salles
• Robert K. Schepker, D.D.S.
• Select Physical Therapy Holdings Inc
• Senior Adult Resource Center
• Ajita Shah, LPC
• Carnig C Shakarjian, DPM

• Psychiatry Physician in Emerson, NJ
• Providers in Emerson, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.
• 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.