Stefan T. Samuelson MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

STEFAN T. SAMUELSON MD PC

Practice address

49 W 24TH St FL 4
New York, NY 10010-3570

Phone

(212) 993-8573

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Stefan Samuelson, MDNPI 1174787477

Title

Owner

Phone

(212) 594-1600

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stefan T Samuelson, M.D.

  • Anesthesiology Physician
  • New York, NY
  • NPI 1174787477
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1538803200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 W 24TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103570",
            "telephone_number": "212-594-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W 24TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103570",
            "telephone_number": "212-993-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFAN T. SAMUELSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-594-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Steenkamp, PHD
• Katelyn Steenvoorden
• Sarah Grace Steer
• John Barringer Steever, M.D.
• Stefan P. Kieserman MD LLP
• Bianca R Stefan, M.D.
• Erika Stefanchik, PA
• Tihomir Stefanec, MD
• Gary F Stefanick, D.C.
• Anthony Stefanou, DMD

• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.