DR. JACQUELINE J SAMUELS (NPI# 1366423444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366423444 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE J SAMUELS |
| Credential | DDS |
| Practice Address |
120 Alcott Pl Ground Floor Bronx NY 10475-4201 |
| Practice Telephone | 7183203181 |
| Practice Fax Number | 7183203181 |
| Mailing Telephone | 7183203181 |
| Mailing Fax Number | 7183203181 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
048186 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548443898 | Jacqueline Samuels | Counselor | 106 Vineyard Ave, Highland, NY 12528-1422 | 2007-12-10 |
| Street Address |
120 ALCOTT PL GROUND FLOOR |
| City | BRONX |
| State | NY |
| Zip Code | 10475-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760482244 | David Horn | Optometrist | 120 Alcott Pl, Front 1, Bronx, NY 10475-4201 | 2005-07-27 |
| 1023429610 | Imani Clarke | Licensed Practical Nurse | 120 Alcott Pl, Apt 8d, Bronx, NY 10475-4201 | 2014-05-16 |
| 1477804136 | Christopher Philando Wellington | Non-emergency Medical Transport (VAN) | 120 Alcott Pl, 6e, Bronx, NY 10475-4201 | 2012-09-20 |
| 1205185725 | Sophia Henry | Early Intervention Provider Agency | 120 Alcott Pl, Apt 21b, Bronx, NY 10475-4201 | 2012-08-29 |
| 1346449881 | Edward Glavey, Do PC | Specialist | 120 Alcott Pl, # 120j, Bronx, NY 10475-4201 | 2007-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973048 | Sharon Antoinette Hall | Registered Nurse | 2552 Pelham Bay Park West, Apt 1 D, 2551 Pelham Bay Park West, Bronx, NY 10475 | 2019-07-11 |
| 1265912042 | Bartow Pharmacy Inc. | Pharmacy | 500-5 Baychester Ave. Store #5, Bronx, NY 10475 | 2018-08-21 |
| 1518465996 | Jacqueline Caraballo | Nurse Practitioner | 100 De Kruif Place Apt 27h, Bronx, NY 10475 | 2018-01-31 |
| 1093227142 | Rachel Obeng Mireku | Licensed Practical Nurse | 140 Dekruif Place, Apt # 26k, Bronx, NY 10475 | 2017-10-30 |
| 1023534518 | Nelson Merritt Hall | Chiropractor | 2100 Bartow Ave, Ste #227, Bronx, NY 10475 | 2017-08-17 |
| 1245769363 | Sharon Holland Johnson | Licensed Practical Nurse | 140 Dekruif Pl, Bronx, NY 10475 | 2017-06-12 |
| 1740719152 | Nadia S Etienne | Licensed Practical Nurse | 120 De Kruif Place, Apt 18h, Bronx, NY 10475 | 2017-06-08 |
| 1407385891 | Ashley N Freeze | Case Manager/Care Coordinator | 140 Darrow Place Suite 24e, Bronx, NY 10475 | 2017-06-08 |
| 1912454091 | Usth.inc | Early Intervention Provider Agency | 120 Coop City Blvd, 21-f, Bronx, NY 10475 | 2016-09-06 |
| 1447626130 | Zelda Boomer | Registered Nurse | 920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475 | 2015-08-17 |
| Find all providers in zip 10475 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1568023331 | David A George | Dentist | 229 E 144th Street, Bronx, NY 10451 | 2019-06-24 |
| 1699268045 | Mariolys Tamayo | Dentist | 6299 Broadway Apt C11, Bronx, NY 10471-3177 | 2018-06-11 |
| 1316444664 | Sofia Kwak | Dentist | 805 Soundview Ave, Bronx, NY 10473-3900 | 2018-04-11 |
| 1033633466 | Bay Plaza Mall Dental Pllc | Dentist | 200 Baychester Ave Ste 311c, Bronx, NY 10475-4585 | 2017-07-27 |
| 1619401890 | Chantal Tavarez Monegro | Dentist | 1924 University Ave Apt 1b, Bronx, NY 10453-4413 | 2017-04-14 |
| 1770014011 | Aleksander Khasidov | Dentist | 1575 Blondell Ave Ste 150, Bronx, NY 10461-2661 | 2017-03-27 |
| 1710428594 | Riverdale Family Dentistry | Dentist | 3534 Riverdale Ave., Bronx, NY 10463 | 2017-03-14 |
| 1730559477 | Hospital | Dentist | 2466 Arthur Ave, Bronx, NY 10458-6004 | 2015-10-06 |
| 1629461678 | Mark Makiling | Dentist | 1911 21 Jerome Avenue, Bronx, NY 10453 | 2015-03-16 |
| Find all providers in BRONX | ||||
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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.