Samuel Anthony Uter, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200231 Issued in NY

Practice address

1110 Eastern Pkwy
Brooklyn, NY 11213-4845

Phone

(718) 221-3462

Fax

(718) 735-3581

NPI assigned

Jun 2, 2006

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1720028772
  Medicare reassignment NPD
• Interfaith Professional Physician Services, P.C.

  • Allergy Physician
  • Brooklyn, NY
  • NPI 1457643991

  Internal Medicine

  Medicare reassignment NPD
• Kingsbrook Medical Associates, PC

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1104112838
  Medicare reassignment
• The Brookdale Hospital Medical Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn, NY
  • NPI 1639756406
  NPD

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1699713792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26246",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100876246",
            "telephone_number": "718-604-5574",
            "fax_number": "718-604-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134845",
            "telephone_number": "718-221-3462",
            "fax_number": "718-735-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTER",
        "first_name": "SAMUEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01842277",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yelena Ustinina
• Tetiana Ustinov
• Mary H Usubiaga, MD
• Usukumah E. Usukumah Medical, PLLC
• Aliya Utepova
• Samuel Anthony Uter
• Shelly Ann Uter, NP
• Adeola R Uthman, M.D.
• Utica Comprehensive Medical Office
• Utica Dental Studio PLLC

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.