NPIMap

Organization Active NPI

Eos Medical Group PC

  • Emergency Medicine Physician
  • Carmel, NY
National Provider Identifier
1730119926
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EOS MEDICAL GROUP PC
Practice address
666 Stoneleigh Ave
Carmel, NY 10512
Phone
(856) 616-8100
Fax
(856) 616-1919
NPI assigned
Jul 3, 2006
Last updated
Nov 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Michael A Sama, MD
Title
Owner/Authorized Official
Phone
(845) 226-8045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

666 Stoneleigh Ave
Carmel, NY 10512

Mailing address

PO Box 11090
Westminster, CA 92685-1090
Phone (562) 809-3573

Other identifiers 1

IdentifierTypeStateIssuer
02313642MedicaidNY

National Provider Directory

National Provider Directory

Locations

10 Healthy Way
Ellenville, NY 12428
Phone 8456476400294

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

Practitioners & affiliated clinicians

Practitioners 89

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1730119926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11090",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851090",
            "telephone_number": "562-809-3573",
            "fax_number": "562-468-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 STONELEIGH AVE",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "10512",
            "telephone_number": "856-616-8100",
            "fax_number": "856-616-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EOS MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "SAMA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "845-226-8045",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02313642",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.