Individual provider Active NPI

Samantha Lowe, D.O.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1447484050
Registry record updated Jan 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB09348700 Issued in NJ
Practice address
274 Madison Ave Ste 300
New York, NY 10016-0701
Phone
(212) 201-1217
NPI assigned
May 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB09348700 NJ Primary

Addresses

Primary practice location

274 Madison Ave Ste 300
New York, NY 10016-0701

Mailing address

60 W 66TH St Apt 26a
New York, NY 10023-6289

Other practice location 1

609 Washington St
Hoboken, NJ 07030-4907
Phone (201) 659-7700

Other identifiers 2

IdentifierTypeStateIssuer
62857OtherNYALBANY MEDICAL CENTER
0385573MedicaidNJ

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
I20230127002388 NY Practitioner - Obstetrics/Gynecology 5193944924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goncharov Medical PCGroup PAC ID 2062739246, 21 clinicians

Practice addresses (Care Compare)

274 Madison Ave
RM 300
New York, NY 10016-0701
Phone (212) 201-1217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09348700NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yelena Rubinshteyn MD PC PastSince Feb 1, 2022 Accepting new patients
Palisades House Physicians, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: slowe546977@nyumc.direct-ci.com
  • Direct secure messaging: slowe236726@direct.englewoodhealth.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642896000000",
    "number": "1447484050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W 66TH ST APT 26A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE STE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160701",
            "telephone_number": "212-201-1217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Washington St",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070304907",
            "country_code": "US",
            "telephone_number": "201-659-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWE",
        "first_name": "SAMANTHA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB09348700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALBANY MEDICAL CENTER",
            "identifier": "62857",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0385573",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.