Individual provider Active NPI

Robert Jeffrey Samuelson, M.D.

  • Pulmonary Disease Physician
  • New York, NY
National Provider Identifier
1497843858
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
143427 Issued in NY
Practice address
38 E 32ND St
3 Floor
New York, NY 10016-5507
Phone
(212) 879-7777
Fax
(646) 952-3357
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 143427 NY
Pulmonary Disease Physician 207RP1001X 143427 NY Primary

Addresses

Primary practice location

38 E 32ND St
3 Floor
New York, NY 10016-5507

Mailing address

38 E 32ND St
3 Floor
New York, NY 10016-5507
Phone (212) 879-7777

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
I20110324000122 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8426199910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Internal Medicine Current Accepting new patients
Weill Medical College of Cornell CurrentSince Mar 1, 2020 Accepting new patients
Weill Medical College of Cornell Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients

Locations

1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176

38 E 32nd St
Fl 3
New York, NY 10016
Phone (212) 879-7777

Interoperability endpoints

  • Direct secure messaging: rjs9012@direct.nyp.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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1497843858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 E 32ND ST",
            "address_2": "3 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165507",
            "telephone_number": "212-879-7777",
            "fax_number": "646-952-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E 32ND ST",
            "address_2": "3 FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165507",
            "telephone_number": "212-879-7777",
            "fax_number": "646-952-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "ROBERT",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "143427",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "143427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.