Individual provider Active NPI

Samantha Silipo, REGISTERED NURSE

  • Adult Health Nurse Practitioner
  • Farmingdale, NY
National Provider Identifier
1902194517
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310901 Issued in NY
Practice address
110 Bi County Blvd
Farmingdale, NY 11735-3943
Phone
(631) 465-6300
NPI assigned
Jul 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310901 NY Primary

Addresses

Primary practice location

110 Bi County Blvd
Farmingdale, NY 11735-3943

Mailing address

17 Whitmore LN
Coram, NY 11727-1029

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230123000425 NY Practitioner - Nurse Practitioner 3577934942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd HospiceGroup PAC ID 1759281843, 8 clinicians

Practice addresses (Care Compare)

110 Bi County Blvd
Suite 114
Farmingdale, NY 11735-3923
Phone (631) 828-7415

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246

Merit-based Incentive Payment System (MIPS)

Final score
53.07 of 100Reported as individual
Quality
56.69
Improvement activities
0
Cost
68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Hospice CurrentSince Dec 13, 2022 Accepting new patients

Locations

110 Bi County Blvd
Ste 114
Farmingdale, NY 11735
Phone (631) 465-6300

110 Bi County Blvd
South Farmingdale, NY 11735
Phone (631) 828-7415

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1902194517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WHITMORE LN",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117271029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BI COUNTY BLVD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353943",
            "telephone_number": "631-465-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILIPO",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-17",
        "last_updated": "2022-09-15",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

Verify at the official NPI Registry.