NPIMap

Individual provider Active NPI

Samuel Mapp, M.D.

  • Surgery Physician
  • Jersey City, NJ
National Provider Identifier
1598717795
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA07013900 Issued in NJ
Practice address
679 Montgomery St
Jersey City, NJ 07306-3324
Phone
(201) 433-6500
Fax
(201) 433-8010
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA07013900 NJ Primary

Addresses

Primary practice location

679 Montgomery St
Jersey City, NJ 07306-3324

Mailing address

679 Montgomery St
Jersey City, NJ 07306-3324
Phone (201) 433-6500

Other identifiers 1

IdentifierTypeStateIssuer
8198802MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041229000688 NY Practitioner - General Surgery 6901864511 Reassigns benefits to 2 organizations
I20051012000900 NJ Practitioner - General Surgery 6901864511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Mercer University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

176 Palisade Ave
Jersey City, NJ 07306-1121
Phone (201) 707-4205

2510 30TH Ave
Astoria, NY 11102-2448
Phone (718) 932-1000

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 10, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Surgery CurrentSince Sep 10, 2022 Accepting new patients
The Mount Sinai Hospital CurrentSince Aug 3, 2015 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Oct 1, 2014 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Dr Samuel Mapp General Surgeon LLC Surgery CurrentSince Jun 5, 2024 Accepting new patients
Mount Sinai Hospital CurrentSince Aug 3, 2015 Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

150 E 42nd St
Fl 2
New York, NY 10017
Phone (646) 605-8119

10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330

Networks

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

Interoperability endpoints

  • Direct secure messaging: samuel.mapp@direct.christhospital.md

Organizations & group practices 7

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1598717795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063324",
            "telephone_number": "201-433-6500",
            "fax_number": "201-433-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063324",
            "telephone_number": "201-433-6500",
            "fax_number": "201-433-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPP",
        "first_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07013900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8198802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.