Steven Samuels, MD
Individual provider Active NPI Internal Medicine Physician · West Islip, NY
NPI 1790783280 · NPPES record last updated Nov 3, 2011
Key facts
- NPI
- 1790783280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 124201 (NY)
- Practice address
- 500 Montauk Hwy
Suite S
West Islip, NY 11795-4418 - Phone
- (631) 587-7733
- Fax
- (631) 587-7798
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 124201 | NY | Yes |
Addresses
Primary practice location
500 Montauk Hwy
Suite S
West Islip, NY 11795-4418
Mailing address
500 Montauk Hwy
Suite S
West Islip, NY 11795-4418
Phone (631) 587-7733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00433587 | Medicaid | NY |
Other providers in West Islip, NY
- Salvatore M Zavarella DO PC
- Samaritan Emergency Medical Services, PC
- Samaritan Medical Services, P.C.
- Anthony F Sampino
- Michele Sampino
- Catherine Mary Sanchez
- Ashish Sangal
- Faridun Sangi
- Anthony Joseph Sansotta
- Eddie Santana III
All providers in West Islip, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.