Natasha Samaroo, BSN RN

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

668336 Issued in NY

Practice address

116 Phyllis Dr
Patchogue, NY 11772-2936

Phone

(631) 335-5226

NPI assigned

Apr 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1568082527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PHYLLIS DR",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722936",
            "telephone_number": "631-335-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PHYLLIS DR",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722936",
            "telephone_number": "631-335-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAROO",
        "first_name": "NATASHA",
        "name_prefix": "Ms.",
        "credential": "BSN RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "NY",
            "license": "668336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "668336",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsamaroo@solidgroundcontractinginc.com",
            "affiliation": "N",
            "endpointDescription": "Personal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "116 Phyllis Dr",
            "city": "Patchogue",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117722936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Mamdouh Salama, PHYSICIAN ASSISTANT
• Alicia Salazar, NBC-HWC
• Stephanie Salinas, PA
• Nora Bridie Salmon, LPN
• Brianna Salvia
• Pedram Samghabadi, LMSW
• Falak Sana
• Elizabeth S Sandusky, CASAC
• Jennifer Sanford, N.P.
• Jeanne Marie Sanginario-Victor

• Clinical Nurse Specialist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.