Susan Samuel Consulting Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SUSAN SAMUEL CONSULTING INC.

Practice address

12722 Hawtree Creek Rd Ste 1
South Ozone Park, NY 11420-1632

Phone

(917) 324-7592

NPI assigned

Jan 29, 2019

Organization subpart

Yes

Parent organization

SUSAN SAMUEL CONSULTING INC.As reported in NPPES

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

Authorized official

Name

Ms. Susan Ba Samuel, PD,SAS,SDA,MS.EDNPI 1275786832

Title

President

Phone

(917) 324-7592

Specialties & licenses 1

Addresses

Part of

Susan Samuel Consulting Inc

Practitioners 1

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

• Susan Ba Samuel, P.D,SAS, SDA, MS.ED

  • Specialist
  • South Ozone Park, NY
  • NPI 1275786832
  NPD Authorized official

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1871057372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BRIARWOOD DR",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184663024",
            "telephone_number": "917-324-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12722 HAWTREE CREEK RD STE 1",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201632",
            "telephone_number": "917-324-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN SAMUEL CONSULTING INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUSAN SAMUEL CONSULTING INC.",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-324-7592",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PD,SAS,SDA,MS.ED"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.