Individual provider Active NPI

Joseph Samaras, M.D.

  • Family Medicine Physician
  • Plattsburgh, NY
National Provider Identifier
1891847885
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
223357-1 Issued in NY
Practice address
675 State Route 3
Plattsburgh, NY 12901-6562
Phone
(518) 566-0672
Fax
(518) 566-0641
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 223357-1 NY Primary

Addresses

Primary practice location

675 State Route 3
Plattsburgh, NY 12901-6562

Mailing address

8799 San Francisco Avenue
Brossard, QUEBEC J4X1W4
CA
Phone (450) 465-4934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000797 NY Practitioner - Family Practice 0143312413 Reassigns benefits to 1 organization
Practice locations: Plattsburgh, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
223357-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plattsburgh Medical Care, PLLC Family Medicine CurrentSince Jan 3, 2007 Accepting new patients
Hudson Headwaters Health Network Family Medicine Past Accepting new patients

Locations

675 State Route 3
Plattsburgh, NY 12901
Phone (518) 566-0672

Interoperability endpoints

  • Direct secure messaging: jsamaras@pmc.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1891847885",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "8799 SAN FRANCISCO AVENUE",
            "city": "BROSSARD",
            "state": "QUEBEC",
            "postal_code": "J4X1W4",
            "telephone_number": "450-465-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 STATE ROUTE 3",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016562",
            "telephone_number": "518-566-0672",
            "fax_number": "518-566-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARAS",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "223357-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.