Active NPI
Samuel H Gartner, M.D.
- Child & Adolescent Psychiatry Physician
- Dix Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 287667
- Practice address
- 197 Half Hollow Rd
Dix Hills, NY 11746-5859 - Phone
- (631) 370-1701
- Fax
- (631) 370-1714
- NPI assigned
- Apr 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 287667 | NY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 287667 | NY | Primary |
Addresses
Primary practice location
197 Half Hollow Rd
Dix Hills, NY 11746-5859
Mailing address
197 Half Hollow Rd
Dix Hills, NY 11746-5859
Phone (631) 370-1701
Other practice location 1
101 Nicolls Rd
Stony Brook, NY 11794-1150
Phone (631) 632-2428
Other practice location 2
445 Broadhollow Rd Ste 105
Melville, NY 11747-3601
Phone (516) 834-6877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287667 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| University Hospital at Stony Brook | Current | Accepting new patients | |
| Stony Brook Psychiatric Associates, University Faculty Practice Corpor | Psychiatry | Current | Accepting new patients |
| Nys Office of Mental Health | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
7559 263rd St
Glen Oaks, NY 11004
Phone (718) 470-8005
79 Middleville Rd
Northport, NY 11768
Phone (631) 266-6057
300 Community Dr
Plandome, NY 11030
169 Putnam Hall
Stony Brook, NY 11794
Phone (631) 632-8850
101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- samuel.gartner@direct.stonybrookmedicine.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Psychiatry Physician
- Stony Brook, NY
- NPI 1437105905
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Psychiatric Hospital
- Dix Hills, NY
- NPI 1437216975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1760800700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 HALF HOLLOW RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465859",
"telephone_number": "631-370-1701",
"fax_number": "516-273-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 HALF HOLLOW RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465859",
"telephone_number": "631-370-1701",
"fax_number": "631-370-1714"
}
],
"practiceLocations": [
{
"address_1": "101 Nicolls Rd",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117941150",
"country_code": "US",
"telephone_number": "631-632-2428",
"fax_number": "631-444-1560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "445 Broadhollow Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Melville",
"state": "NY",
"postal_code": "117473601",
"country_code": "US",
"telephone_number": "516-834-6877",
"fax_number": "516-273-7133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARTNER",
"first_name": "SAMUEL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-06",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "287667",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "287667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.