Active NPI
Blair Samuel
- Specialist
- Scarsdale, NY
National Provider Identifier
1861168874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1203508
- Practice address
- 154 Bradley Rd
Scarsdale, NY 10583-6236 - Phone
- (561) 212-9281
- NPI assigned
- Aug 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1203508 | NY | Primary |
Addresses
Primary practice location
154 Bradley Rd
Scarsdale, NY 10583-6236
Mailing address
154 Bradley Rd
Scarsdale, NY 10583-6236
Phone (561) 212-9281
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1203508 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1861168874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 BRADLEY RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105836236",
"telephone_number": "561-212-9281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 BRADLEY RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105836236",
"telephone_number": "561-212-9281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "BLAIR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1203508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarsdale, NY
- Sylvia Weiss Saltzstein, PH.D.
- Salvatore a. Farruggio, M.D., P.C.
- Valerie Salwen, PSYD
- Samantha Slotnick, Inc (Samantha Slotnick, OD, FAAO, FCOVD)
- Vishnupriya Samarendra, M.D.
- Danielle E Samuel, M.S. CCC-SLP
- Joanne Sanantonio I
- Thalia Diana Sanchez, PSY.D
- Rochelle Sanders, PSYD
- Warangkana Sangchan, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.