Active NPI
Samoon Ahmad, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1649333691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 205637
- Practice address
- 381 Park Ave S
Suite 620
New York, NY 10016-8806 - Phone
- (212) 585-1111
- Fax
- (212) 562-8541
- NPI assigned
- Dec 19, 2006
- Last updated
- Jul 11, 2015
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 205637 | NY | Primary |
Addresses
Primary practice location
381 Park Ave S
Suite 620
New York, NY 10016-8806
Mailing address
381 Park Ave S
Suite 620
New York, NY 10016-8806
Phone (212) 585-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 26, 2022 through Aug 26, 2026
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
45 Research Way
Suite 206
East Setauket, NY 11733-6401
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": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436572800000",
"number": "1649333691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 PARK AVE S",
"address_2": "SUITE 620",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168806",
"telephone_number": "212-585-1111",
"fax_number": "212-562-8541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 PARK AVE S",
"address_2": "SUITE 620",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168806",
"telephone_number": "212-585-1111",
"fax_number": "212-562-8541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "SAMOON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2015-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "205637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.