Dwayne Lloyd Samuel, R.N.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

22520078 Issued in NY

Practice address

53 Fairmont St
Elmsford, NY 10523-3403

Phone

(917) 723-8918

Fax

(855) 873-4328

NPI assigned

Oct 1, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1689925547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 IRVING AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112376122",
            "telephone_number": "917-723-8918",
            "fax_number": "855-873-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 FAIRMONT ST",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105233403",
            "telephone_number": "917-723-8918",
            "fax_number": "855-873-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "DWAYNE",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "22520078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Mitchell Rubenstein
• Adan Ruiz
• Stephanie M Sampson, LP-LCAT
• Sams East Inc
• Sams East Inc
• Diana Carolina Sanchez
• Samuel Sanchez, LCSW
• Satin Hair Boutique, LLC
• Ellen Victoria Satin
• Christian James Sayegh, PA-C

• Home Health Registered Nurse in Elmsford, NY
• Providers in Elmsford, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.