Jeffrey Allan Samuels, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME60132 Issued in FL

Practice address

1 W Sample Rd
Suite 301
Pompano Beach, FL 33064-3547

Phone

(954) 941-5355

Fax

(954) 941-5675

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jeffrey Allan Samuels Other name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1396880043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W SAMPLE RD",
            "address_2": "SUITE 301",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643547",
            "telephone_number": "954-941-5355",
            "fax_number": "954-941-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W SAMPLE RD",
            "address_2": "SUITE 301",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643547",
            "telephone_number": "954-941-5355",
            "fax_number": "954-941-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "JEFFREY",
        "middle_name": "ALLAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME60132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053956200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1396880043",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "SAMUELS",
            "middle_name": "ALLAN",
            "credential": "M.D.,P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Odette Pinili Salvoro, COTA
• Samaritan Hope Empowerment Services
• Sandra Michelle Samek-Proia
• Sample Square Pharmacy
• Kayon Samuels-Dennis, PHARMD
• Stephanie Jennifer Sanacore
• Abigail M Sanchez Suarez
• Alexander Sanchez, DDS
• Katya Maria Sanchez, MD
• Kayla Sanchez

• Physical Medicine & Rehabilitation Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.