Samantha Peterson, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

312320 Issued in NY

Practice address

496 Smithtown Byp Ste 101
Smithtown, NY 11787-5010

Phone

(631) 979-8064

NPI assigned

Jun 27, 2025

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

Other names 1

• Samantha Caputo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: speterson179994@direct-chsli.net

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.

• Millennium Medical Professionals, PLLC

  • Cardiovascular Disease Physician
  • Smithtown, NY
  • NPI 1114364510

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1326936295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 BOW DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117881626",
            "telephone_number": "516-225-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SMITHTOWN BYP STE 101",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875010",
            "telephone_number": "631-979-8064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5225 Rte 347 Ste 23",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117762058",
            "country_code": "US",
            "telephone_number": "631-473-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SAMANTHA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "312320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CAPUTO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura C Perratto, DMD
• Carina Perrotta, R P.A.-C
• Personal Woman'S Care Medical Services P C
• Geri Ellen Pesko
• Karen Lynn Peterson, LCSW
• Stephanie Petit
• Uliana Petrova
• Risa Petrucci, M.A.
• Johanna Petrycki, P.A.
• Mindy Shera Pfeffer, M.D.

• Adult Health Nurse Practitioner in Smithtown, NY
• Providers in Smithtown, 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 Jun 27, 2025; 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.