Organization Active NPI

Samantha J Ratner DPM PLLC

  • Podiatrist
  • Oyster Bay, NY
National Provider Identifier
1508606906
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SAMANTHA J RATNER DPM PLLC
Practice address
1 Shore Ave
Oyster Bay, NY 11771-6000
Phone
(516) 747-3119
Fax
(516) 747-4783
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Ms. Ruthann Kirschen
Title
Director
Phone
(516) 641-6214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1 Shore Ave
Oyster Bay, NY 11771-6000

Mailing address

PO Box 1610
Mineola, NY 11501-0901
Phone (516) 641-6214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241119002361 NY Part B Supplier - Clinic/Group Practice 5698200376 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville Centre, NY

National Provider Directory

National Provider Directory

Locations

1 Shore Ave
Oyster Bay, NY 11771
Phone (516) 747-3119

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1508606906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115010901",
            "telephone_number": "516-641-6214",
            "fax_number": "516-747-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHORE AVE",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117716000",
            "telephone_number": "516-747-3119",
            "fax_number": "516-747-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA J RATNER DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "KIRSCHEN",
        "authorized_official_first_name": "RUTHANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-641-6214",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.