Individual provider Active NPI

Marie Sherlay Samedy

  • Psychiatric/Mental Health Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1780598557
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15666200 Issued in NJ
Practice address
22 Westcott St
East Orange, NJ 07017-3209
Phone
(973) 462-8927
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18404 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15666200 NJ Primary

Addresses

Primary practice location

22 Westcott St
East Orange, NJ 07017-3209

Mailing address

22 Westcott St
East Orange, NJ 07017-3209
Phone (973) 462-8927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1780598557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WESTCOTT ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070173209",
            "telephone_number": "973-462-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WESTCOTT ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070173209",
            "telephone_number": "973-462-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMEDY",
        "first_name": "MARIE",
        "middle_name": "SHERLAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "18404",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15666200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.