Active NPI
Mourad B Samaan, M.D.
- Emergency Medicine Physician
- Bronx, NY
National Provider Identifier
1598802449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 191218
- Practice address
- 1650 Grand Concourse
Bronx-Lebanon Hospital
Bronx, NY 10457-7606 - Phone
- (718) 518-5854
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 191218 | NY | Primary |
Addresses
Primary practice location
1650 Grand Concourse
Bronx-Lebanon Hospital
Bronx, NY 10457-7606
Mailing address
17-14 Radburn Rd
Fair Lawn, NJ 07410-4416
Phone (201) 796-7475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01704627 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1598802449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17-14 RADBURN RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074104416",
"telephone_number": "201-796-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"address_2": "BRONX-LEBANON HOSPITAL",
"city": "BRONX",
"state": "NY",
"postal_code": "104577606",
"telephone_number": "718-518-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMAAN",
"first_name": "MOURAD",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "191218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01704627",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.