Active NPI
Samuel Paul Purpura Jr., DO
- Internal Medicine Physician
- Southampton, PA
National Provider Identifier
1689647059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 05009043L
- Practice address
- 928 Jaymor Rd
Ste a-100
Southampton, PA 18966 - Phone
- (215) 322-5002
- Fax
- (215) 322-5008
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 05009043L | PA | Primary |
Addresses
Primary practice location
928 Jaymor Rd
Ste a-100
Southampton, PA 18966
Mailing address
928 Jaymor Rd
Ste a-100
Southampton, PA 18966
Phone (215) 322-5002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086875 | Other | MEDICARE GROUP NUMBER |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05009043L | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689647059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 JAYMOR RD",
"address_2": "STE A-100",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "18966",
"telephone_number": "215-322-5002",
"fax_number": "215-322-5008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 JAYMOR RD",
"address_2": "STE A-100",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "18966",
"telephone_number": "215-322-5002",
"fax_number": "215-322-5008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURPURA",
"first_name": "SAMUEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "05009043L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "086875",
"state": null
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.