Albert Samandarov, D.P.M

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N006526 Issued in NY

Practice address

3116 30TH Ave
Suite 203
Astoria, NY 11102-1571

Phone

(718) 626-3338

Fax

(718) 626-3034

NPI assigned

Jan 26, 2011

Last updated

Mar 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ideal Foot Care PCGroup PAC ID 0244454304, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ideal Foot Care PC

  • Foot & Ankle Surgery Podiatrist
  • Astoria, NY
  • NPI 1255754917
  Medicare reassignment Care Compare group Authorized official
• Cross County Podiatry, PC

  • Foot & Ankle Surgery Podiatrist
  • Floral Park, NY
  • NPI 1275128126
  NPD Authorized official

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1528364353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 30TH AVE",
            "address_2": "SUITE 203",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021571",
            "telephone_number": "718-626-3338",
            "fax_number": "718-626-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 30TH AVE",
            "address_2": "SUITE 203",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021571",
            "telephone_number": "718-626-3338",
            "fax_number": "718-626-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMANDAROV",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-26",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Salierno, D.D.S.
• Lura Salm, LMSW
• Anastasia Salouros
• Chelsea Salyer
• Oslynn Karen Sam
• Evangelos Anastasios Samaras, LMHC
• Amrita Stephanie Samaroo, DOCTOR OF PHARMACY
• Rana Samhoury
• Hamid Samie, PHARMD
• Carmen L Sammut, OTR/L

• Foot & Ankle Surgery Podiatrist in Astoria, NY
• Providers in Astoria, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.