Organization Active NPI

Sam L Unterricht, MD, PC

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1861534398
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
131659 Issued in NY
Legal business name
SAM L UNTERRICHT, MD, PC
Practice address
20 Plaza St E
Brooklyn, NY 11238-4955
Phone
(718) 622-5800
Fax
(718) 622-5832
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sam L Unterricht, M.D.
Title
President
Phone
(718) 622-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 131659 NY Primary

Addresses

Primary practice location

20 Plaza St E
Brooklyn, NY 11238-4955

Mailing address

23 Erick Ave
Hewlett, NY 11557-1408
Phone (516) 569-4976

Other identifiers 17

IdentifierTypeStateIssuer
32A322OtherNYWELL CHOICE
OC 1691OtherTOUCHSTONE
131659A16OtherHEALTHFIRST
175878OtherNYELDERPLAN
60519752OtherFIDELIS CARE
00487581MedicaidNY
57819OtherNYCARE PLUS
KS854OtherNYOXFORD
OC 1691OtherACS HEALTH NET
2710000101OtherNYHEALTHPLUS
4233294OtherAETNA MC NAP
0022985OtherNYGROUP HEALTH INCORPORATED
26054POtherNYHIP
32A322OtherNYEMPIRE BLUE CROSS
17P0841OtherNYNY PRESBYTERIAN COMMUNITY
64572OtherAETNA
P0000003602OtherGHI HMO MEDICARE VALUE

Other names 1

  • Sam L Unterricht, MD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861534398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ERICK AVE",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571408",
            "telephone_number": "516-569-4976",
            "fax_number": "516-569-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PLAZA ST E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384955",
            "telephone_number": "718-622-5800",
            "fax_number": "718-622-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM L UNTERRICHT, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNTERRICHT",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-622-5800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "131659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CHOICE",
            "identifier": "32A322",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOUCHSTONE",
            "identifier": "OC 1691",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "131659A16",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "175878",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE",
            "identifier": "60519752",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00487581",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS",
            "identifier": "57819",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "KS854",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTH NET",
            "identifier": "OC 1691",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "2710000101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MC NAP",
            "identifier": "4233294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INCORPORATED",
            "identifier": "0022985",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "26054P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "32A322",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY PRESBYTERIAN COMMUNITY",
            "identifier": "17P0841",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "64572",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO MEDICARE VALUE",
            "identifier": "P0000003602",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam L Unterricht, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.