Individual provider Active NPI

Samantha Ann Undari-Schwartz, NP

  • Adult Health Clinical Nurse Specialist
  • Bay Shore, NY
National Provider Identifier
1912347428
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
306519 Issued in NY
Practice address
301 E Main St
Bay Shore, NY 11706-8408
Phone
(516) 330-1578
NPI assigned
Jun 28, 2013
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306519 NY
Gerontology Nurse Practitioner 363LG0600X 306519 NY
Adult Health Clinical Nurse Specialist 364SA2200X 306519 NY Primary

Addresses

Primary practice location

301 E Main St
Bay Shore, NY 11706-8408

Mailing address

PO Box 433
Massapequa, NY 11758-0433
Phone (516) 330-1578

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
I20140418000705 NY Practitioner - Nurse Practitioner 5193957413 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olaf Butchma DO PCGroup PAC ID 5597183244, 8 clinicians

Practice addresses (Care Compare)

3617 Parsons Blvd
Flushing, NY 11354-5931
Phone (718) 888-5200

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
68.45

Merit-based Incentive Payment System (MIPS)

Final score
25.24 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
84.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine & Rehabilitation of Long Island CurrentSince Jul 25, 2023 Accepting new patients
Mid Island Medical Associates, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Py Medical PLLC CurrentSince Jan 6, 2026 Accepting new patients
Olaf Butchma DO PC CurrentSince Oct 1, 2020 Accepting new patients
My Medical PC CurrentSince Jan 1, 2026 Accepting new patients
Peyman Younesi MD PLLC Past Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

234 Orinoco Dr
Brightwaters, NY 11718
Phone (631) 300-0079

3617 Parsons Blvd
Flushing, NY 11354
Phone (718) 888-5200

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

1 Greenwich St
Hempstead, NY 11550
Phone (516) 353-3387

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

78 Old Country Rd
Westhampton, NY 11977
Phone (631) 288-0101

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1912347428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 433",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117580433",
            "telephone_number": "516-330-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068408",
            "telephone_number": "516-330-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDARI-SCHWARTZ",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306519",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "306519",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NY",
            "license": "306519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.