Individual provider Active NPI

Samuel Michael, RN, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1780125963
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F339919-1 Issued in NY
Practice address
1825 Eastchester Rd
Room 213
Bronx, NY 10461-2301
Phone
(646) 673-4441
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 654383 NY
Family Nurse Practitioner 363LF0000X F339919-1 NY Primary

Addresses

Primary practice location

1825 Eastchester Rd
Room 213
Bronx, NY 10461-2301

Mailing address

381 Old Courthouse Rd
Manhasset Hills, NY 11040-1132
Phone (646) 673-4441

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114001008 NY Practitioner - Nurse Practitioner 2163913443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Gustave L Levy PL
Suite 1087
New York, NY 10029-6504

381 Old Courthouse Rd
New Hyde Park, NY 11040-1132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
654383NYMDRegistered Nurse
339919NYMDAnesthesiology Physician
F339919-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Michael Associates LLC Family CurrentSince Jun 23, 2025 Accepting new patients
Michael Care Family Health NP PC Family CurrentSince Nov 4, 2025 Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1780125963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 OLD COURTHOUSE RD",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401132",
            "telephone_number": "646-673-4441",
            "fax_number": "212-656-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 EASTCHESTER RD",
            "address_2": "ROOM 213",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612301",
            "telephone_number": "646-673-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "SAMUEL",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "654383",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339919-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.