Edward T Samuel, MD, PHD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

123988 Issued in NY

Practice address

235 N Belle Mead Rd
E Setauket, NY 11733-3456

Phone

(631) 751-3000

Fax

(631) 751-3366

NPI assigned

Jun 10, 2005

Last updated

Mar 24, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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.

• North Shore Hematology Oncology Associates

  • Specialist
  • Smithtown, NY
  • NPI 1306043591
  Authorized official Same address or phone

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1730183302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N BELLE MEAD RD",
            "city": "E SETAUKET",
            "state": "NY",
            "postal_code": "117333456",
            "telephone_number": "631-751-3000",
            "fax_number": "631-751-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N BELLE MEAD RD",
            "city": "E SETAUKET",
            "state": "NY",
            "postal_code": "117333456",
            "telephone_number": "631-751-3000",
            "fax_number": "631-751-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "EDWARD",
        "middle_name": "T",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "123988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00679983",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy A McLinskey, M.D.
• Jennifer L Monastero, PT
• Hugh M Musof, DMD
• Stanley S Ostrow, MD
• John M. Reitano, MD
• Diane Scalogna, PT
• Frances Seymour-Barrett, RN
• Natalie L Shapiro, LCSW MSW
• Martin J Silverstein, MD
• Muriel Gail Stehlin, PHYSICIAN ASSISTANT

• Hematology & Oncology Physician in E Setauket, NY
• Providers in E Setauket, NY by specialty
• Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.