Individual provider Active NPI

Samoon Ahmad, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1649333691
Registry record updated Jul 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
205637 Issued in NY
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 26, 2022 through Aug 26, 2026

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
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

Verify at the official NPI Registry.