Individual provider Active NPI

Samantha Incampo

  • Specialist
  • Plainview, NY
National Provider Identifier
1568018299
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
125 E Bethpage Rd
Plainview, NY 11803-4228
Phone
(516) 731-5588
NPI assigned
Aug 19, 2019
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

125 E Bethpage Rd
Plainview, NY 11803-4228

Mailing address

966 Naple Ave
Franklin Square, NY 11010-2232
Phone (516) 497-2259

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MKSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coast to Coast Therapy LLC Current Accepting new patients
Marion K. Salomon PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1568018299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 NAPLE AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102232",
            "telephone_number": "516-497-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E BETHPAGE RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034228",
            "telephone_number": "516-731-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCAMPO",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MKSA",
            "affiliation": "N",
            "address_1": "125 E Bethpage Rd",
            "city": "Plainview",
            "state": "NY",
            "country_code": "US",
            "postal_code": "118034228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.