Samantha J. G. Aquino, N.P.
Individual provider Active NPI Nurse Practitioner · New York, NY
NPI 1922477488 · NPPES record last updated Dec 7, 2015
Key facts
- NPI
- 1922477488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F306943-1 (NY)
- Practice address
- 160 E 34TH St
Radiation Oncology
New York, NY 10016-4744 - Phone
- (212) 731-5014
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 Hicksville Rd
Bethpage, NY 11714-3471
700 Hicksville Rd
Suite 205
Bethpage, NY 11714-3472
Hospital & facility affiliations
- NYU Langone Hospitals
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260515002735 | NY | Practitioner - Nurse Practitioner | 5092136754 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F306943-1 | NY | MD | Nurse Practitioner |
Interoperability endpoints
- saquino1647786@nychhc.direct-ci.com
- sganey26932@nyumc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F306943-1 | NY | Yes |
Addresses
Primary practice location
160 E 34TH St
Radiation Oncology
New York, NY 10016-4744
Mailing address
160 E 34TH St
Radiation Oncology
New York, NY 10016-4744
Phone (212) 731-5014
Other providers in New York, NY
- Jennifer Alicia Aquino
- Juana Aquino
- Justin Aquino
- Norma Aquino
- Pilar Aquino
- Ar Anesthesia LLC
- Ar Borough Medical PC
- Ar Dermatology PC
- Ar Medical PC
- Ar Physical Therapy & Physical Therapist Assistant PLLC
All providers in New York, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.