Organization Active NPI

Medical 360 House Call, PLLC

  • Clinic/Center
  • Albertson, NY
National Provider Identifier
1881119634
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEDICAL 360 HOUSE CALL, PLLC
Practice address
175 I U Willets Rd Ste 2B
Albertson, NY 11507-1342
Phone
(516) 312-0231
Fax
(888) 202-2608
NPI assigned
Aug 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Dr. Steven Samuel, DONPI 1861410870
Title
Owner
Phone
(516) 351-2213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

175 I U Willets Rd Ste 2B
Albertson, NY 11507-1342

Mailing address

175 I U Willets Rd Ste 2B
Albertson, NY 11507-1342
Phone (516) 351-2213

Other names 2

  • StackMD Doing business as
  • medical 24 house call of New York, PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171003005039 NY Part B Supplier - Clinic/Group Practice 0749555639 Receives reassigned benefits from 1 practitioner
Practice locations: Albertson, NY

National Provider Directory

National Provider Directory

Locations

175 I U Willets Rd
Ste 2B
Albertson, NY 11507
Phone (516) 312-0231

185 Old Country Rd
Ste 7
Riverhead, NY 11901
Phone (631) 474-2215

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1881119634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 I U WILLETS RD STE 2B",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071342",
            "telephone_number": "516-351-2213",
            "fax_number": "888-202-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 I U WILLETS RD STE 2B",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071342",
            "telephone_number": "516-312-0231",
            "fax_number": "888-202-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL 360 HOUSE CALL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-12",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-351-2213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StackMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "medical 24 house call of New York, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "medical 24 house call of New York, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Albertson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.