Active NPI
Samantha N Musolino, F.N.P.
- Family Nurse Practitioner
- Suffern, NY
National Provider Identifier
1871930792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F340318-1
- Practice address
- 100 Route 59
Suite 101
Suffern, NY 10901-4927 - Phone
- (845) 494-2172
- NPI assigned
- Jun 1, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 646340 | NY | |
| Family Nurse Practitioner | 363LF0000X | F340318-1 | NY | Primary |
Addresses
Primary practice location
100 Route 59
Suite 101
Suffern, NY 10901-4927
Mailing address
20 Grand Street, 3Rd FL
Warwick, NY 10990-1035
Phone (845) 987-3906
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 |
|---|---|---|---|
| 646340 | NY | MD | Pediatric Registered Nurse |
| F340318-1 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457654400000",
"number": "1871930792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GRAND STREET, 3RD FL",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901035",
"telephone_number": "845-987-3906",
"fax_number": "845-987-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ROUTE 59",
"address_2": "SUITE 101",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014927",
"telephone_number": "845-494-2172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSOLINO",
"first_name": "SAMANTHA",
"middle_name": "N",
"credential": "F.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-01",
"last_updated": "2016-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "NY",
"license": "646340",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F340318-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.