Active NPI
Samson Medical PC
- Internal Medicine Physician
- Cedarhurst, NY
National Provider Identifier
1346336161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 193386
- Legal business name
- SAMSON MEDICAL PC
- Practice address
- 545 Central Ave
Cedarhurst, NY 11516-2144 - Phone
- (516) 791-7400
- Fax
- (516) 791-7755
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Israel M Samson, MD
- Title
- President
- Phone
- (516) 791-7400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 193386 | NY | Primary |
Addresses
Primary practice location
545 Central Ave
Cedarhurst, NY 11516-2144
Mailing address
545 Central Ave
Cedarhurst, NY 11516-2144
Phone (516) 791-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
545 Central Ave
Cedarhurst, NY 11516
Phone (516) 791-7400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634256000000",
"number": "1346336161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 CENTRAL AVE",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115162144",
"telephone_number": "516-791-7400",
"fax_number": "516-791-7755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 CENTRAL AVE",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115162144",
"telephone_number": "516-791-7400",
"fax_number": "516-791-7755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMSON MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A",
"authorized_official_last_name": "SAMSON",
"authorized_official_first_name": "ISRAEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-791-7400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "193386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedarhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.