Samer B Mazahreh, DNP, FNP-C, D.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

343176 Issued in NY

Practice address

634 Main St
New Rochelle, NY 10801-7114

Phone

(914) 654-1100

Fax

(914) 654-9715

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1932250107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017114",
            "telephone_number": "914-654-1100",
            "fax_number": "914-654-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017114",
            "telephone_number": "914-654-1100",
            "fax_number": "914-654-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZAHREH",
        "first_name": "SAMER",
        "middle_name": "B",
        "credential": "DNP, FNP-C,     D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009616",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Mayer
• Jodi P Mayerman
• Geneva Mayne
• Whitney Maynor, PH.D.
• Mayoor Transportation Inc
• Maria Benilda MC Farlane
• Mary McAllen
• Leah McCaine, LMHC, CASAC-A
• Debora McCarthy, N.P.
• Melanie Ann McCauley

• Family Nurse Practitioner in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.