DR. STANLEY SAMUEL (NPI# 1083047658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083047658 |
| Entity Type | Individual |
| Full Name | DR. STANLEY SAMUEL |
| Credential | M.D. |
| Practice Address |
2925 West 19th Street Brooklyn NY 11224 |
| Mailing Address |
12851 Heacock Street Moreno Valley CA 92553 |
| Practice Telephone | 7186166029 |
| Mailing Telephone | 2144040181 |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2018-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
278507 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
278507 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
278507 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265985410 | Stanley Samuel | Pharmacist | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2016-07-24 |
| 1629373592 | Stanley Samuel | Dentist | 5151 S Federal Blvd, G-2, Littleton, CO 80123-2975 | 2011-01-24 |
| Street Address |
2925 WEST 19TH STREET |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891231015 | Lisa Baron | Psychologist | 2925 West 19th Street, Brooklyn, NY 11224 | 2017-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893121 | A Song of Ascents LLC. | Clinic/Center | 2526 Neptune Ave, Brooklyn, NY 11224 | 2019-01-01 |
| 1851805659 | Kare for Kids Inc. | Early Intervention Provider Agency | 445 Neptune Avenue, 17a, Brooklyn, NY 11224 | 2017-12-01 |
| 1972014884 | Ingrid Blumberg | Speech-Language Pathologist | 2929 West 30th Street, Brooklyn, NY 11224 | 2017-10-18 |
| 1598283723 | Natalie Misyuk | Registered Nurse | 2820 West 8th Street Apt 11-h, Brooklyn, NY 11224 | 2017-09-08 |
| 1811412356 | Lisa S Rudnitsky | Day Training, Developmentally Disabled Services | 445 Neptune Avenue, 12d, Brooklyn, NY 11224 | 2017-08-05 |
| 1568910339 | Lara Adedayo | Licensed Practical Nurse | 3022 W 22nd Street Apt2g, Brooklyn, NY 11224 | 2016-09-21 |
| 1033665336 | Galina Moiseyeva | Pharmacist | 2946 W23rd Ap6-n, Brooklyn, NY 11224 | 2016-08-28 |
| 1538615083 | Oceanview Adult Day Care | Clinic/Center | 2910 West 32nd Streer, 1st Floor, Brooklyn, NY 11224 | 2016-08-25 |
| 1235537143 | Nola Roxanne Moore | Licensed Practical Nurse | 2867 West 37th Street, Brooklyn, NY 11224 | 2014-12-09 |
| 1447651989 | Renata Vaysman | Psychologist | 2925 W 19th St, Brooklyn, NY 11224 | 2014-09-15 |
| Find all providers in zip 11224 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679732101 | Shahil M Patel | Psychiatry & Neurology | 660 E 98th St, 11e, Brooklyn, NY 11236-1356 | 2008-06-09 |
| 1053523738 | Young Soon Suh | Psychiatry & Neurology | 1480 Prospect Pl, Brooklyn, NY 11213-2427 | 2007-05-04 |
| 1609881358 | Jerry Padpad Co | Psychiatry & Neurology | 800 Poly Pl Rm 14-200, Brooklyn, NY 11209 | 2006-07-30 |
| 1467898817 | Ashwin Jacob Mathai | Psychiatry & Neurology | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2013-05-13 |
| 1124291224 | Soumyadipta Hazra | Psychiatry & Neurology | 1 Brookdale Plz, Dept of Psychiatry,12chc, Brooklyn, NY 11212-3139 | 2008-04-09 |
| 1194912907 | Art of Medicine, P.C. | Psychiatry & Neurology | 2409 Ocean Ave Unit 1f, Brooklyn, NY 11229-3576 | 2007-09-26 |
| 1467487991 | Boris Magid | Psychiatry & Neurology | 760 Broadway, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196236 | Midtown Applied Medicine,pc | Psychiatry & Neurology | 244 5th Avenu, Ste 2095, Ste 2095, New York, NY 10001 | 2019-10-24 |
| 1285276378 | Nesconset Medical Associates Pllc | Psychiatry & Neurology | 195 Southern Blvd Ste 104, Nesconset, NY 11767-1738 | 2019-10-10 |
| 1629534474 | Priyadarshan Bajpayi, M.d. PC | Psychiatry & Neurology | 5550 Merrick Rd Ste 200, Massapequa, NY 11758-6238 | 2019-02-18 |
| 1912417106 | Miguel Calimano Md PC | Psychiatry & Neurology | 88 Terry Rd # 7, Smithtown, NY 11787-3811 | 2017-10-03 |
| 1326432238 | Kamehameha Health and Wellness Nonprofit Corporation | Psychiatry & Neurology | 3250 Weschester Avenue, Suite Ll4, Bronx, NY 10461-4548 | 2015-03-28 |
| 1518229400 | Leila Mariam Vaezazizi | Psychiatry & Neurology | 260 E 161st St # C-33, Bronx, NY 10451-3512 | 2012-06-15 |
| 1447529474 | New York Center of Addiction LLC | Psychiatry & Neurology | 506 Willis Avenue, 7th Floor, Bronx, NY 10455 | 2011-12-20 |
| 1750691457 | Apollo Neale Palomares | Psychiatry & Neurology | 78 Lafayette Ave Ste 100, Suffern, NY 10901-5551 | 2010-10-14 |
| 1144534975 | Abha Gupta | Psychiatry & Neurology | 197 Bowery, New York, NY 10002-2867 | 2010-08-04 |
| 1427379932 | Bay Shore Medical Services, P.C. | Psychiatry & Neurology | 56 W Main St # A, Bay Shore, NY 11706-8327 | 2010-06-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.