Sandra Samuels, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA027027000 Issued in NJ

Practice address

18 Koewing PL
West Orange, NJ 07052-3928

Phone

(973) 731-2954

NPI assigned

Apr 27, 2008

Sex

Female

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

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rutgers Newark Campus Pharmacy

  • Community/Retail Pharmacy
  • Newark, NJ
  • NPI 1336240910
  NPD (past)

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

{
    "created_epoch": "1209254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209254400000",
    "number": "1710152137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 UNIVERSITY AVE",
            "address_2": "ROOM 104",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021808",
            "telephone_number": "973-353-5231",
            "fax_number": "973-353-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 KOEWING PL",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523928",
            "telephone_number": "973-731-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "SANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-27",
        "last_updated": "2008-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA027027000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Peter Salas, MD, FACS, FACM
• Michael Salierno, MD
• Sally Attia, LLC
• Samantha Jean Salomon, MD
• Lucinda Samp
• Lisa Sand, LCSW
• Louis V Sangosse, M.D.
• Marie C Sangosse, MD
• Rachael O Sanni
• Daniel Sansobrino, MD

• Pediatrics Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2008; 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.