Individual provider Active NPI

George Samuel, M.D.

  • Internal Medicine Physician
  • Cortlandt Manor, NY
National Provider Identifier
1407087307
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
267901 Issued in NY
Practice address
1980 Crompond Road
The Westchester Medical Practice PC
Cortlandt Manor, NY 10567
Phone
(914) 734-3600
Fax
(914) 734-3601
NPI assigned
Jul 27, 2009
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 267901 NY Primary

Addresses

Primary practice location

1980 Crompond Road
The Westchester Medical Practice PC
Cortlandt Manor, NY 10567

Mailing address

2649 Strang Blvd Ste 304
Yorktown Heights, NY 10598-2938
Phone (914) 739-0087

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
Direct Messaging Address ges9056@direct.nyp.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20140124001765 NY Practitioner - Internal Medicine 8426208950 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 293-8670

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
267901NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jan 21, 2021 Accepting new patients
Newburgh Physician Services PC CurrentSince Mar 15, 2021 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Jun 1, 2015 Accepting new patients
Progressive Care Medical Group, PLLC Internal Medicine CurrentSince Apr 10, 2023 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Oct 21, 2013 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Jun 1, 2015 Accepting new patients
Cortlandt Operations LLC Past Accepting new patients
Hudson Valley Hospital Center Past Accepting new patients

Locations

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

110 Oregon Rd
Cortlandt Mnr, NY 10567
Phone (914) 739-8150

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

300 Community Dr
Manhasset, NY 11030

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

50 Dayton Ln
Ste 202
Peekskill, NY 10566

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: george.samuel@direct.hvhc.org
  • Direct secure messaging: ges9056@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1407087307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 STRANG BLVD STE 304",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982938",
            "telephone_number": "914-739-0087",
            "fax_number": "914-737-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 CROMPOND ROAD",
            "address_2": "THE WESTCHESTER MEDICAL PRACTICE PC",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-734-3600",
            "fax_number": "914-734-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "267901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "1980 CROMPOND ROAD",
            "address_2": "THE WESTCHESTER MEDICAL PRACTICE PC",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "1980 CROMPOND ROAD",
            "address_2": "THE WESTCHESTER MEDICAL PRACTICE PC",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ges9056@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct addres",
            "address_1": "1980 CROMPOND ROAD",
            "address_2": "THE WESTCHESTER MEDICAL PRACTICE PC",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.