Individual provider Active NPI

Steven Samuels, MD

  • Geriatric Psychiatry Physician
  • Englewood, NJ
National Provider Identifier
1679623797
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
25MA07660500 Issued in NJ
Practice address
350 Engle Street, 4 East
C/O Dept of Psychiatry, Englewood Hosp & Medical Ctr
Englewood, NJ 07631
Phone
(201) 681-2915
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 25MA07660500 NJ Primary

Addresses

Primary practice location

350 Engle Street, 4 East
C/O Dept of Psychiatry, Englewood Hosp & Medical Ctr
Englewood, NJ 07631

Mailing address

350 Engle Street, 4 East
C/O Dept of Psychiatry, Englewood Hosp & Medical Ctr
Englewood, NJ 07631
Phone (201) 681-2915

Other identifiers 1

IdentifierTypeStateIssuer
0024066MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712000343 NY Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 3072506443 Reassigns benefits to 1 organization
Practice locations: Nyack, NY

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
State University of New York at Buffalo School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Medical CenterGroup PAC ID 9638081284, 85 clinicians

Practice addresses (Care Compare)

2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 891-4141

Hospital & facility affiliations

  • Adirondack Medical Center - Saranac Lake Hospital, Saranac Lake, NY, CCN 330079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07660500NJMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Medical Center CurrentSince Jun 15, 2020 Accepting new patients
Adirondack Medical Center CurrentSince Jun 15, 2020 Accepting new patients
Medical Associates of Englewood, PC PastSince Aug 1, 2024 Accepting new patients
Physician Partners of Englewood, PC PastSince Jan 1, 2025 Accepting new patients
Adirondack Medical Center Past Accepting new patients

Locations

29 Church St
Lake Placid, NY 12946
Phone (518) 523-1122

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000

Organizations & group practices 5

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 2

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1679623797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ENGLE STREET, 4 EAST",
            "address_2": "C/O DEPT OF PSYCHIATRY, ENGLEWOOD HOSP & MEDICAL CTR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-681-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE STREET, 4 EAST",
            "address_2": "C/O DEPT OF PSYCHIATRY, ENGLEWOOD HOSP & MEDICAL CTR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-681-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NJ",
            "license": "25MA07660500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024066",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.