Individual provider Active NPI

Bibi Shereeza Samaroo

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1801728712
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
341230-01 Issued in NY
Practice address
1115 Avenue U
Brooklyn, NY 11223-5019
Phone
(718) 717-8337
Fax
(718) 717-8794
NPI assigned
Jun 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 341230-01 NY Primary

Addresses

Primary practice location

1115 Avenue U
Brooklyn, NY 11223-5019

Mailing address

12225 Benton St
Springfield Gardens, NY 11413-1052
Phone (718) 717-8337

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
341230-01NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lining Homecare Agency, Inc. PastSince Jun 22, 2021 Accepting new patients
Silver Lining Homecare Agency, Inc. PastSince Jun 22, 2021 Accepting new patients

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": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1801728712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 BENTON ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114131052",
            "telephone_number": "718-717-8337",
            "fax_number": "718-717-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235019",
            "telephone_number": "718-717-8337",
            "fax_number": "718-717-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAROO",
        "first_name": "BIBI",
        "middle_name": "SHEREEZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "341230-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.