Organization Active NPI

Samuel Boris Drassinower, M.D., P.C.

  • Psychiatry Physician
  • White Plains, NY
National Provider Identifier
1841591997
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
105578 Issued in NY
Legal business name
SAMUEL BORIS DRASSINOWER, M.D., P.C.
Practice address
15 Lake St # LB1
White Plains, NY 10603-3851
Phone
(914) 682-0448
Fax
(914) 682-0506
NPI assigned
Nov 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Dr. Samuel Boris Drassinower, M.D.NPI 1902925068
Title
President
Phone
(914) 682-0448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 105578 NY Primary

Addresses

Primary practice location

15 Lake St # LB1
White Plains, NY 10603-3851

Mailing address

15 Lake St # LB1
White Plains, NY 10603-3851
Phone (914) 682-0448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110817000570 NY Part B Supplier - Clinic/Group Practice 5991974412 Receives reassigned benefits from 1 practitioner
Practice locations: White Plains, NY

National Provider Directory

National Provider Directory

Locations

15 Lake St
Ste LB1
White Plains, NY 10603
Phone (914) 682-0448

15 Lake St
Ste 1
White Plains, NY 10603
Phone (914) 682-0448

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1841591997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LAKE ST # LB1",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033851",
            "telephone_number": "914-682-0448",
            "fax_number": "914-682-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LAKE ST # LB1",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033851",
            "telephone_number": "914-682-0448",
            "fax_number": "914-682-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL BORIS DRASSINOWER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "DRASSINOWER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-682-0448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "105578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.