NPIMap

Individual provider Active NPI

Samantha Mastanduno, D.O.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1770937419
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
302377 Issued in NY
Practice address
645 Madison Ave FL 34
New York, NY 10022-1010
Phone
(888) 636-7840
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MB11284200 NJ
Physical Medicine & Rehabilitation Physician 208100000X 302377 NY Primary

Addresses

Primary practice location

645 Madison Ave FL 34
New York, NY 10022-1010

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (609) 677-7003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210811000601 NY Practitioner - Physical Medicine and Rehabilitation 1052645579 Reassigns benefits to 2 organizations
I20211208001516 NJ Practitioner - Physical Medicine and Rehabilitation 1052645579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701

145 E 32 St
New York, NY 10016-6055
Phone (212) 263-3210

145 E 32ND St
FL 2
New York, NY 10016-6055
Phone (212) 263-3210

355 W 52ND St
New York, NY 10019-6239
Phone (646) 778-5555

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Hospital for Special Surgery Hospital, New York, NY, CCN 330270

Merit-based Incentive Payment System (MIPS)

Final score
83.37 of 100Reported as group
Quality
69.76
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB11284200NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Current Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Dec 1, 2021 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC Physical Medicine & Rehabilitation CurrentSince Dec 1, 2021 Accepting new patients
Rothman Orthopaedics of New York, PLLC CurrentSince Oct 1, 2021 Accepting new patients
New York University Physical Medicine & Rehabilitation CurrentSince Jan 1, 2025 Accepting new patients
Rothman Orthopaedics of New York, PLLC CurrentSince Oct 1, 2021 Accepting new patients
New York University Physical Medicine & Rehabilitation CurrentSince Jan 1, 2025 Accepting new patients
New York University CurrentSince Jan 1, 2025 Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Veterans Blvd 11TH FL
Rutherford, NJ 07070

450 Mamaroneck Ave
Harrison, NY 10528
Phone (914) 686-3116

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

645 Madison Ave
Fl 34
New York, NY 10022
Phone (888) 636-7840

145 E 32nd St
Fl 4
New York, NY 10016
Phone (212) 263-8961

111 Broadway
Fl 4
New York, NY 10006
Phone (212) 263-9700

645 Madison Ave
New York, NY 10022
Phone (212) 317-4548

658 White Plains Rd
Tarrytown, NY 10591
Phone (888) 636-7840

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Interoperability endpoints

  • Direct secure messaging: smastanduno110272@nyumc.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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1770937419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "609-677-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MADISON AVE FL 34",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221010",
            "telephone_number": "888-636-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTANDUNO",
        "first_name": "SAMANTHA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2021-12-02",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB11284200",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "302377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.