Samantha Lee Bruno, PA
Individual provider Active NPI Physician Assistant · Cortlandt Manor, NY
NPI 1760271985 · NPPES record last updated Sep 12, 2025
Key facts
- NPI
- 1760271985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 034343 (NY)
- Practice address
- 1980 Crompond Rd
Cortlandt Manor, NY 10567-4144 - Phone
- (914) 737-9000
- NPI assigned
- May 5, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Westchester Medical Practice PC
Practice addresses (Care Compare)
1968 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 736-1100
1978 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 293-8700
1978 Crompond Rd
Suite 206
Cortlandt Manor, NY 10567-4111
Phone (914) 736-6180
1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Hospital & facility affiliations
- Hudson Valley Hospital Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250929001115 | NY | Practitioner - Physician Assistant | 2466957550 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034343 | NY | MD | Speech-Language Pathologist |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- uwa9005@direct.nyp.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 034343 | NY | Yes |
Addresses
Primary practice location
1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Mailing address
60 Saw Mill Rd
Putnam Valley, NY 10579-2233
Phone (914) 715-6616
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | uwa9005@direct.nyp.org | Direct | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) |
Other providers in Cortlandt Manor, NY
- Valerie E Braun
- David S Breslin
- Bonnie Brody
- Glenn I Bronley
- Desline Brown
- Steven W Bruno
- Dianne Buchman
- Diane Bucolo
- David R Bueti
- Silviu M Burcescu
All providers in Cortlandt Manor, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.