Active NPI
Samuel HS the MD PA
- Internal Medicine Physician
- Rutherford, NJ
National Provider Identifier
1982923124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA32800
- Legal business name
- SAMUEL HS THE MD PA
- Practice address
- 130 Orient Way Ste BB
Rutherford, NJ 07070-2145 - Phone
- (201) 343-6916
- Fax
- (201) 438-4227
- NPI assigned
- May 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kiem The
- Title
- Practice Manager
- Phone
- (201) 693-1790
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA32800 | NJ | Primary |
| Pulmonary Disease Physician | 207RP1001X | MA32800 | NJ | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
130 Orient Way Ste BB
Rutherford, NJ 07070-2145
Mailing address
130 Orient Way Ste BB
Rutherford, NJ 07070-2145
Phone (201) 343-6916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Medicine (Internal Medicine) Physician
- Rutherford, NJ
- NPI 1467602201
-
- Legal Medicine
- Rutherford, NJ
- NPI 1588637292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1982923124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 ORIENT WAY STE BB",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070702145",
"telephone_number": "201-343-6916",
"fax_number": "201-438-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 ORIENT WAY STE BB",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "070702145",
"telephone_number": "201-343-6916",
"fax_number": "201-438-4227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL HS THE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-27",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "THE",
"authorized_official_first_name": "KIEM",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "201-693-1790"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA32800",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "MA32800",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.