Active NPI
Michael A Samach, M.D.
- Gastroenterology Physician
- Morristown, NJ
National Provider Identifier
1861508566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA03450100
- Practice address
- 101 Madison Ave
Suite 100
Morristown, NJ 07960-7357 - Phone
- (973) 455-0404
- Fax
- (973) 540-8788
- NPI assigned
- Aug 22, 2006
- Last updated
- Aug 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 34501 | NJ | |
| Gastroenterology Physician | 207RG0100X | 25MA03450100 | NJ | Primary |
Addresses
Primary practice location
101 Madison Ave
Suite 100
Morristown, NJ 07960-7357
Mailing address
101 Madison Ave
Suite 100
Morristown, NJ 07960-7357
Phone (973) 455-0404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0519103 | Medicaid | NJ |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34501 | NJ | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1861508566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MADISON AVE",
"address_2": "SUITE 100",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079607357",
"telephone_number": "973-455-0404",
"fax_number": "973-540-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MADISON AVE",
"address_2": "SUITE 100",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079607357",
"telephone_number": "973-455-0404",
"fax_number": "973-540-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMACH",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "34501",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA03450100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0519103",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.