Active NPI
Marie Camilien Samuel, RN
- Registered Nurse
- Valley Cottage, NY
National Provider Identifier
1942624143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 663541-1
- Practice address
- 140 Route 303
Suite a
Valley Cottage, NY 10989-5906 - Phone
- (845) 267-2172
- NPI assigned
- Feb 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 663541-1 | NY | Primary |
Addresses
Primary practice location
140 Route 303
Suite a
Valley Cottage, NY 10989-5906
Mailing address
140 Route 303
Suite a
Valley Cottage, NY 10989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 663541-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Association of Rockland County, Inc. | Past | Accepting new patients | |
| The Mental Health Association of Westchester County, Inc. | Past | Accepting new patients |
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.
-
- Voluntary or Charitable Agency
- Valley Cottage, NY
- NPI 1326105446
-
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1942306873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1942624143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 ROUTE 303",
"address_2": "SUITE A",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "10989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 ROUTE 303",
"address_2": "SUITE A",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109895906",
"telephone_number": "845-267-2172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "MARIE",
"middle_name": "CAMILIEN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-07",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "663541-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Cottage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.