Samantha Sassone

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

309462 Issued in NY

Practice address

4939 Brittonfield Pkwy Ste 208
East Syracuse, NY 13057-9208

Phone

(315) 471-8404

NPI assigned

Apr 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cny Facial Surgery Group, PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • E. Syracuse, NY
  • NPI 1831297183

  NY

  Medicare reassignment NPD
• Cny Cosmetic & Reconstructive Surgery LLC

  • Plastic and Reconstructive Surgery Physician
  • East Syracuse, NY
  • NPI 1922215979
  NPD (past)

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1972184000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 LATTING RD",
            "city": "SHORTSVILLE",
            "state": "NY",
            "postal_code": "145489224",
            "telephone_number": "585-967-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 BRITTONFIELD PKWY STE 208",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579208",
            "telephone_number": "315-471-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSONE",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "309462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "debi@cnyfacialsurgery.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4939 Brittonfield Pkwy Ste 208",
            "city": "East Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130579208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fahed Saada
• Desiree Anne Salucci, M.S., CCC-SLP
• Gina Marie Salvatore, OTR/L
• James Samsel, P.T.
• Nadine Paige Sansone
• SC Dental PC
• Anthony J Scalzo, M.D.
• Janis L Scaturo, LCSW
• Schaffer & Fiorentino DDS PC
• Catherine Eileen Schaus, FNP, ANP

• Nurse Practitioner in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.