Individual provider Active NPI

Lakshman Samaroo, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1972205318
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F432554 Issued in NY
Practice address
100 Elgar PL Apt 28L
Bronx, NY 10475-5044
Phone
(917) 495-5398
NPI assigned
Mar 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F432554 NY Primary

Addresses

Primary practice location

100 Elgar PL Apt 28L
Bronx, NY 10475-5044

Mailing address

100 Elgar PL Apt 28L
Bronx, NY 10475-5044
Phone (917) 495-5398

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230926002601 NY Practitioner - Nurse Practitioner 1052765922 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F432554NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Aug 14, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 14, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Sep 17, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Sep 17, 2023 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Aug 14, 2023 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1625 Poplar St
Bronx, NY 10461
Phone (718) 405-8440

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

15 Laurel Ave
Cornwall, NY 12518
Phone (914) 849-7655

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lsamaroo@montefioredirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1972205318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELGAR PL APT 28L",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755044",
            "telephone_number": "917-495-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELGAR PL APT 28L",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755044",
            "telephone_number": "917-495-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAROO",
        "first_name": "LAKSHMAN",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F432554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.