Organization Active NPI

Samuel Michael Associates LLC

  • Family Nurse Practitioner
  • Manhasset Hills, NY
National Provider Identifier
1619782224
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SAMUEL MICHAEL ASSOCIATES LLC
Practice address
381 Old Courthouse Rd
Manhasset Hills, NY 11040-1132
Phone
(646) 673-4441
NPI assigned
Feb 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Samuel Michael, FNP-BCNPI 1780125963
Title
Owner
Phone
(646) 673-4441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

381 Old Courthouse Rd
Manhasset Hills, NY 11040-1132

Mailing address

381 Old Courthouse Rd
Manhasset Hills, NY 11040-1132
Phone (646) 673-4441

Other names 2

  • LIFE LINE FAMILY CLINIC Doing business as
  • Lifeline Family Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1619782224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 OLD COURTHOUSE RD",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401132",
            "telephone_number": "646-673-4441",
            "fax_number": "212-656-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 OLD COURTHOUSE RD",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401132",
            "telephone_number": "646-673-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL MICHAEL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-673-4441",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE LINE FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lifeline Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhasset Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.