Samantha Preya Baiju, RN
Individual provider Active NPI Registered Nurse · Bohemia, NY
NPI 1477920114 · NPPES record last updated Aug 28, 2015
Key facts
- NPI
- 1477920114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 690036-1 (NY)
- Practice address
- 45 Crossway E
Bohemia, NY 11716-1204 - Phone
- (718) 697-1042
- NPI assigned
- Aug 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 690036-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 690036-1 | NY | Yes |
Addresses
Primary practice location
45 Crossway E
Bohemia, NY 11716-1204
Mailing address
373 Saint James St
Holbrook, NY 11741-3801
Phone (718) 697-1042
Other providers in Bohemia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.