Individual provider Active NPI

Samantha Veksler, PA-C

  • Physician Assistant
  • Stamford, CT
National Provider Identifier
1972050649
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020169 Issued in NY
Practice address
764 Washington Blvd
Stamford, CT 06901-3706
Phone
(203) 658-6556
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3695 CT
Physician Assistant 363A00000X 020169 NY Primary

Addresses

Primary practice location

764 Washington Blvd
Stamford, CT 06901-3706

Mailing address

45 Henry Ave
Harrison, NY 10528-4426
Phone (914) 582-7182

Other practice location 1

70 Danbury Rd
Wilton, CT 06897-4408
Phone (203) 349-6334

Other names 1

  • Samantha Rauchwerger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Norwalk, Inc PastSince Oct 22, 2023 Accepting new patients
Wellness Stamford, Inc. PastSince Oct 22, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1972050649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HENRY AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105284426",
            "telephone_number": "914-582-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 WASHINGTON BLVD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013706",
            "telephone_number": "203-658-6556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Danbury Rd",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "CT",
            "postal_code": "068974408",
            "country_code": "US",
            "telephone_number": "203-349-6334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEKSLER",
        "first_name": "SAMANTHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3695",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "RAUCHWERGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.