Active NPI
Samantha Tanen, PA-C
- Physician Assistant
- Howard Beach, NY
National Provider Identifier
1770366304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 030613
- Practice address
- 13525 79TH St
Howard Beach, NY 11414-1010 - Phone
- (718) 925-3475
- NPI assigned
- Aug 16, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 030613 | NY | Primary |
Addresses
Primary practice location
13525 79TH St
Howard Beach, NY 11414-1010
Mailing address
60 Merrick Ave
East Meadow, NY 11554-1578
Phone (718) 964-6161
Other practice location 1
60 Merrick Ave
East Meadow, NY 11554-1578
Phone (718) 964-6161
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030613 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Medical PC | Physician Assistant | Current | Accepting new patients |
Locations
250 Skillman St
Ste 202
Brooklyn, NY 11205
11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754
Organizations & group practices 2
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.
-
dba AFC Urgent Care Yorktown
- Urgent Care Clinic/Center
- Yorktown Heights, NY
- NPI 1497159560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1770366304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MERRICK AVE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541578",
"telephone_number": "718-964-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13525 79TH ST",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114141010",
"telephone_number": "718-925-3475"
}
],
"practiceLocations": [
{
"address_1": "60 Merrick Ave",
"address_purpose": "LOCATION",
"city": "East Meadow",
"state": "NY",
"postal_code": "115541578",
"country_code": "US",
"telephone_number": "718-964-6161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANEN",
"first_name": "SAMANTHA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "030613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.