Individual provider Active NPI

Samia Choudhury

  • Physician Assistant
  • New York, NY
National Provider Identifier
1497211411
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
023612 Issued in NY
Practice address
222 E 41St St FL 12
New York, NY 10017-6739
Phone
(646) 825-6321
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 023612 NY Primary

Addresses

Primary practice location

222 E 41St St FL 12
New York, NY 10017-6739

Mailing address

3911 211TH St
Bayside, NY 11361-1957
Phone (914) 953-1285

Other practice location 1

3911 211th St
Bayside, NY 11361-1957
Phone (914) 953-1285

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address schoudhury464315@nyumc.direct-ci.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210406002162 NY Practitioner - Physician Assistant 9537576723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, New York, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701

1465 3Rd Ave
New York, NY 10028-1926
Phone (646) 754-2300

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

171 Delancey St
New York, NY 10002-3411
Phone (929) 455-2600

355 W 52ND St
New York, NY 10019-6239
Phone (646) 778-5555

540 Hudson St
NYU Langone Care on Demand W Vill
New York, NY 10014-3233
Phone (646) 754-2200

97 Amity St
Brooklyn, NY 11201-6004
Phone (212) 598-6784

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 2, 2021 Accepting new patients
New York University CurrentSince Aug 16, 2021 Accepting new patients
New York University CurrentSince Aug 16, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 2, 2021 Accepting new patients

Locations

222 E 41st St
Fl 12
New York, NY 10017
Phone (646) 825-6300

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: schoudhury464315@nyumc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1497211411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 211TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611957",
            "telephone_number": "914-953-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 41ST ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176739",
            "telephone_number": "646-825-6321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3911 211th St",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113611957",
            "country_code": "US",
            "telephone_number": "914-953-1285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUDHURY",
        "first_name": "SAMIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schoudhury464315@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "222 E 41st St Fl 12",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100176739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.