Active NPI
Christopher Obinna Samuel, MD
- Anesthesiology Physician
- Hackensack, NJ
National Provider Identifier
1376283366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA13169800
- Practice address
- 146 Route 17 North
Ste 3
Hackensack, NJ 07601 - Phone
- (888) 212-4512
- NPI assigned
- Mar 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA13169800 | NJ | Primary |
Addresses
Primary practice location
146 Route 17 North
Ste 3
Hackensack, NJ 07601
Mailing address
25 Hickory PL Apt J12
Chatham, NJ 07928-3000
Phone (908) 377-5999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230608000805 | RI | Order and Referring Only - Anesthesiology | 1951768845 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1376283366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HICKORY PL APT J12",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "079283000",
"telephone_number": "908-377-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 ROUTE 17 NORTH",
"address_2": "STE 3",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "888-212-4512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "CHRISTOPHER",
"middle_name": "OBINNA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-29",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA13169800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.