Individual provider Active NPI

Nina Menon Samal

  • Audiologist
  • Ocala, FL
National Provider Identifier
1477307684
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2622 Issued in FL
Practice address
4620 E Silver Springs Blvd Ste 501
Ocala, FL 34470-3354
Phone
(352) 438-0050
Fax
(352) 438-0049
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2622 FL Primary

Addresses

Primary practice location

4620 E Silver Springs Blvd Ste 501
Ocala, FL 34470-3354

Mailing address

4620 E Silver Springs Blvd Ste 501
Ocala, FL 34470-3354
Phone (352) 438-0050

Other practice location 1

4414 SW College Rd Unit 1530
Ocala, FL 34474-2702
Phone (352) 236-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AY2622FLMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1477307684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 E SILVER SPRINGS BLVD STE 501",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344703354",
            "telephone_number": "352-438-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 E SILVER SPRINGS BLVD STE 501",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344703354",
            "telephone_number": "352-438-0050",
            "fax_number": "352-438-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4414 SW College Rd Unit 1530",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344742702",
            "country_code": "US",
            "telephone_number": "352-236-6700",
            "fax_number": "352-236-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMAL",
        "first_name": "NINA",
        "middle_name": "MENON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.