Organization Active NPI

Josephine Samson MD PLLC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1760106157
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOSEPHINE SAMSON MD PLLC
Practice address
1365 York Ave Ste P1
New York, NY 10021-4035
Phone
(212) 396-9411
Fax
(212) 396-0345
NPI assigned
Sep 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Josephine Samson, MD
Title
Owner/Provider
Phone
(212) 396-9411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1365 York Ave Ste P1
New York, NY 10021-4035

Mailing address

1365 York Ave Ste P1
New York, NY 10021-4035
Phone (212) 396-9411

National Provider Directory

National Provider Directory

Locations

1365 York Ave
Ste P1
New York, NY 10021
Phone (212) 396-9411

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1760106157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 YORK AVE STE P1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214035",
            "telephone_number": "212-396-9411",
            "fax_number": "212-396-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 YORK AVE STE P1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214035",
            "telephone_number": "212-396-9411",
            "fax_number": "212-396-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHINE SAMSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "212-396-9411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.