Active NPI
Asha Samuel
- Medical Physician Assistant
- Rockville Centre, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 1000 N Village Ave
Rockville Centre, NY 11570 - Phone
- (516) 705-2525
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
1000 N Village Ave
Rockville Centre, NY 11570
Mailing address
1000 N Village Ave
Rockville Centre, NY 11570-1000
Phone (516) 705-2525
Other practice location 1
327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (718) 869-7000
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5828 99TH St
Corona, NY 11368-4306
Phone (718) 502-9867
5828 99TH St Corona
Corona, NY 11368-4306
Phone (718) 502-9867
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022383 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Hospital United States Catholic Conference | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| St. Francis Hospital | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- asha.samuel@ghuc.eclinicaldirectplus.com
- asamuel8447557@nychhc.direct-ci.com
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1619245610
-
- Emergency Medicine Physician
- Uniondale, NY
- NPI 1588098172
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1760704811
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1104097294
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1750439030
-
- Cardiovascular Disease Physician
- West Islip, NY
- NPI 1528386810
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540598400000",
"number": "1760978936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N VILLAGE AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115701000",
"telephone_number": "516-705-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N VILLAGE AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "11570",
"telephone_number": "516-705-2525"
}
],
"practiceLocations": [
{
"address_1": "327 Beach 19th St",
"address_purpose": "LOCATION",
"city": "Far Rockaway",
"state": "NY",
"postal_code": "116914423",
"country_code": "US",
"telephone_number": "718-869-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMUEL",
"first_name": "ASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.