Active NPI
Samantha Slomiak, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1487188355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 295518-01
- Practice address
- 161 W 75TH St Apt 1B
New York, NY 10023-1802 - Phone
- (917) 563-4016
- Fax
- (917) 277-9845
- NPI assigned
- Apr 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA11313200 | NJ | |
| Psychiatry Physician | 2084P0800X | 295518-01 | NY | Primary |
Addresses
Primary practice location
161 W 75TH St Apt 1B
New York, NY 10023-1802
Mailing address
161 W 75TH St Apt 1B
New York, NY 10023-1802
Phone (917) 563-4016
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11313200 | NJ | MD | Psychiatry Physician |
| 295518-01 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673136000000",
"number": "1487188355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 W 75TH ST APT 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100231802",
"telephone_number": "917-563-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 W 75TH ST APT 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100231802",
"telephone_number": "917-563-4016",
"fax_number": "917-277-9845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOMIAK",
"first_name": "SAMANTHA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-17",
"last_updated": "2023-01-08",
"certification_date": "2023-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA11313200",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "295518-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.