Individual provider Active NPI

Syeda Samena Ali, NP

  • Adult Health Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1831857416
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310571 Issued in NY
Practice address
2316 Broadway
Apt 1R
Long Island City, NY 11106-4154
Phone
(732) 585-3335
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1247172 TX
Adult Health Nurse Practitioner 363LA2200X H190317 IA
Adult Health Nurse Practitioner 363LA2200X APRN-5982 HI
Adult Health Nurse Practitioner 363LA2200X 2026024187 MO
Adult Health Nurse Practitioner 363LA2200X SP035258 PA
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 310571 NY Primary
Adult Health Nurse Practitioner 363LA2200X LP-0011032 DE

Addresses

Primary practice location

2316 Broadway
Apt 1R
Long Island City, NY 11106-4154

Mailing address

2316 Broadway
Apt 1R
Long Island City, NY 11106-4154
Phone (732) 585-3335

Other practice location 1

880 SW 145th Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone (866) 849-0692

Other names 1

  • Samena Ali Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221129001493 NY Practitioner - Nurse Practitioner 3779951546 Reassigns benefits to 1 organization
I20251020001286 NJ Practitioner - Nurse Practitioner 3779951546 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235
Phone (888) 964-6681

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP-0011032DEMDAdult Health Nurse Practitioner
H190317IAMDAdult Health Nurse Practitioner
SP035258PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Value Based Long Term Care H PC Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Healthdrive Medical Services Southeast LLC Multi-Specialty CurrentSince Aug 8, 2025 Accepting new patients
HDC Care Solutions, LLC Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Renew Wound Care of New Jersey LLC Multi-Specialty CurrentSince Nov 14, 2025 Accepting new patients
Weill Medical College of Cornell Multi-Specialty CurrentSince Sep 13, 2022 Accepting new patients
Weill Medical College of Cornell Multi-Specialty CurrentSince Sep 13, 2022 Accepting new patients

Locations

103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

525 E 68th St
#2109
New York, NY 10065
Phone (212) 746-5196

525 E 68th St
Ste M404
New York, NY 10065
Phone (212) 746-5156

12 Penns Trl
Ste 154
Newtown, PA 18940
Phone (215) 675-3005

135 Dodge St
Providence, RI 02907
Phone (401) 383-5150

Networks

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

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1831857416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 BROADWAY",
            "address_2": "APT 1R",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111064154",
            "telephone_number": "732-585-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 BROADWAY",
            "address_2": "APT 1R",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111064154",
            "telephone_number": "732-585-3335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 SW 145th Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330276171",
            "country_code": "US",
            "telephone_number": "866-849-0692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "SYEDA",
        "middle_name": "SAMENA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1247172",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H190317",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "APRN-5982",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2026024187",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP035258",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310571",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LP-0011032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMENA",
            "last_name": "ALI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.