Samueli Institute

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

VA0101038155 Issued in VA

Legal business name

SAMUELI INSTITUTE

Practice address

4301 Jones Bridge Rd
Family Practice Clinic
Bethesda, MD 20814-4712

Phone

(301) 295-3632

Fax

(703) 535-6752

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wayne B Jonas, MD

Title

President and Ceo

Phone

(703) 299-4800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437204773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 DIAGONAL RD",
            "address_2": "SUITE 400",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142866",
            "telephone_number": "703-299-4800",
            "fax_number": "703-535-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 JONES BRIDGE RD",
            "address_2": "FAMILY PRACTICE CLINIC",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144712",
            "telephone_number": "301-295-3632",
            "fax_number": "703-535-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUELI INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONAS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "703-299-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "VA0101038155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadeth Jamie Samnang
• Michelly Kerly Sampaio de Melo, MD
• Nidhi Sampath, LCPC
• James Buchanan Sampson, M.D.
• Shanika Sampson
• Francisco Sanchez
• Francisco Sanchez, OMD
• Marlene Laura Sanchez, MD
• Mirian Noema Sanchez, LCPC
• Nicole Brooke Sandell, LCPC

• Clinic/Center in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.