DR. REZA N SAMAD (NPI# 1265674683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265674683 |
| Entity Type | Individual |
| Full Name | DR. REZA N SAMAD |
| Credential | M.D. |
| Practice Address |
121 Dekalb Ave Brooklyn NY 11201-5425 |
| Mailing Address |
150 E 42nd St Fl 9 New York NY 10017-5699 |
| Practice Telephone | 3478507392 |
| Mailing Telephone | 6466058188 |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2019-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 260010 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
260010 | NY | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
260010 | NY | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 260010 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
121 DEKALB AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326046467 | The Brooklyn Hospital Center | Clinic/Center | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2005-07-12 |
| 1457963647 | John Christian Cerenzio I | Pharmacist | 121 Dekalb Ave, Brooklyn, NY 11201-5493 | 2020-08-19 |
| 1033727334 | Natalie Greco | Pharmacist | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2020-07-22 |
| 1457979346 | Jaclyn Alana Connors | Pharmacist | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2020-07-08 |
| 1184242992 | Melanie J Slaby | Pharmacist | 121 Dekalb Ave, Brooklyn, NY 11201-5493 | 2020-07-08 |
| 1194343939 | Joanna Deangelis | Pharmacist | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2020-07-08 |
| 1740807692 | Soumil Narayan | Student in an Organized Health Care Education/Training Program | 121 Dekalb Ave, House Staff Administration, Brooklyn, NY 11201-5425 | 2020-06-26 |
| 1477179695 | Don Dong Seob Kim | Student in an Organized Health Care Education/Training Program | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2020-06-23 |
| 1184240798 | Matthew Christopher Bechbache | Student in an Organized Health Care Education/Training Program | 121 Dekalb Ave, Department of Pediatrics, Brooklyn, NY 11201 | 2020-06-19 |
| 1942825070 | Gokul Gopi | Student in an Organized Health Care Education/Training Program | 121 Dekalb Ave, House Staff Administration, Brooklyn, NY 11201-5425 | 2020-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104236611 | Britta Kumley | Internal Medicine | 450 Clarkson Ave # Sl-50, Brooklyn, NY 11203-2012 | 2014-05-06 |
| 1790031151 | Samir. A. Farhat, M.d., P.C. | Internal Medicine | 421 77th St, Ground Floor, Brooklyn, NY 11209-3205 | 2012-08-03 |
| 1093016149 | Anne Elizabeth Wyman | Internal Medicine | 450 Clarkson Ave # Msc19, Brooklyn, NY 11203 | 2010-11-05 |
| 1972778520 | Lillian Chow | Internal Medicine | 450 Clarkson Ave # 19, Brooklyn, NY 11203-2012 | 2008-04-24 |
| 1346441714 | New York Pulmonary & Sleep Medicine Consultant Pllc | Internal Medicine | 428 Graham Aveune, Brooklyn, NY 11211 | 2007-05-31 |
| 1124159694 | Spiro Demetis Physician PC | Internal Medicine | 9001 Fort Hamilton Pkwy, Brooklyn, NY 11209-6408 | 2007-03-08 |
| 1437224656 | Eli Baladad Alegado | Internal Medicine | 4115 Ritchie Highway, Brooklyn, MD 21225 | 2006-11-22 |
| 1043267610 | Eugene Gibilaro | Internal Medicine | 421 78th St Ste B, Brooklyn, NY 11209-3447 | 2006-05-28 |
| 1154376499 | Prabhat Soni | Internal Medicine | 2519 Avenue O, Brooklyn, NY 11210-5230 | 2006-05-24 |
| 1477520245 | Igor Chernyavskiy | Internal Medicine | 2625 E 14th St, Suite 201, Brooklyn, NY 11235-3973 | 2006-03-01 |
| Find all providers in BROOKLYN | ||||
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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.