Individual provider Active NPI

Samantha Elizabeth Busgith, FNP

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1801419684
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
F345900 Issued in NY
Practice address
150 W 55TH St
New York, NY 10019-5586
Phone
(212) 991-6490
Fax
(646) 695-1011
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F345900-01 NY
Dermatology Physician 207N00000X F345900 NY Primary

Addresses

Primary practice location

150 W 55TH St
New York, NY 10019-5586

Mailing address

150 W 55TH St
FRNT 1G
New York, NY 10019-5586
Phone (347) 743-6774

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
I20201103002622 NY Practitioner - Nurse Practitioner 6800206855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
NSS Dermatology PLLCGroup PAC ID 6204905516, 5 clinicians
Joseph Onorato MD PCGroup PAC ID 6800801655, 14 clinicians

Practice addresses (Care Compare)

150 W 55TH St
FRNT 1G
New York, NY 10019-5586
Phone (212) 991-6490

54 New Hyde Park Rd
Garden City, NY 11530-3909
Phone (516) 488-1313

Merit-based Incentive Payment System (MIPS)

Final score
93.82 of 100Reported as group
Quality
87.63
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F345900-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NSS Dermatology PLLC Dermatology CurrentSince May 20, 2020 Accepting new patients
Joseph Onorato M.D., P.C. Dermatology CurrentSince May 10, 2023 Accepting new patients
Joseph Onorato M.D., P.C. Dermatology CurrentSince May 10, 2023 Accepting new patients

Locations

54 New Hyde Park Rd
Garden City, NY 11530
Phone (516) 488-1313

100 Village Sq
Ste 170
Glen Cove, NY 11542
Phone (516) 676-3554

Networks

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

Interoperability endpoints

  • Direct secure messaging: sbusgith1@aid.emadirect.md

Organizations & group practices 3

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1801419684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 55TH ST",
            "address_2": "FRNT 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195586",
            "telephone_number": "347-743-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 55TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195586",
            "telephone_number": "212-991-6490",
            "fax_number": "646-695-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSGITH",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345900-01",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "F345900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.