Active NPI
Mary Jane Garcia Samson
- Physical Therapist
- Bronx, NY
National Provider Identifier
1851022834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041023
- Practice address
- 1922 Mulford Ave
Bronx, NY 10461-4009 - Phone
- (347) 513-2030
- NPI assigned
- Jun 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041023 | NY | Primary |
Addresses
Primary practice location
1922 Mulford Ave
Bronx, NY 10461-4009
Mailing address
1922 Mulford Ave
Bronx, NY 10461-4009
Phone (347) 513-2030
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041023 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1851022834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 MULFORD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104614009",
"telephone_number": "347-513-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1922 MULFORD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104614009",
"telephone_number": "347-513-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSON",
"first_name": "MARY JANE",
"middle_name": "GARCIA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-21",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.