SAMUEL MASTER (NPI# 1720468408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720468408 |
| Entity Type | Individual |
| Full Name | SAMUEL MASTER |
| Credential | D.O. |
| Practice Address |
622 West 168th St Vc4 New York NY 10032 |
| Mailing Address |
622 West 168th St Vc 4 New York NY 10032 |
| Practice Telephone | 2123423233 |
| Practice Fax Number | 2123424733 |
| Mailing Telephone | 2123423200 |
| Mailing Fax Number | 2123424733 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2018-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 294447 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | OT016663 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 22-2540851 | 05 |
| Street Address |
622 WEST 168TH ST VC4 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710912100 | Henry Lin | Emergency Medicine | 622 West 168th St, Ph-1-137, New York, NY 10032 | 2006-07-12 |
| 1487214979 | Kristine Olsen | Registered Nurse | 622 West 168th St, New York, NY 10032 | 2019-06-17 |
| 1760909303 | Taedra Pedonti | Social Worker | 622 West 168th St, Vc4-east Room 403, New York, NY 11211 | 2017-08-24 |
| 1144647447 | Marissa Nadeau | Emergency Medicine | 622 West 168th St, Vc2-suite 260, New York, NY 10032-3851 | 2014-03-25 |
| 1619299062 | Sivagnanam Kesavan | Pharmacist | 622 West 168th St, New York-presbytarian Hospital, New York, NY 10032-3748 | 2010-02-25 |
| 1356500219 | Richard Francis | Pathology | 622 West 168th St, Ph 1564w, New York, NY 10032 | 2008-06-05 |
| 1205095155 | David De Vinck | Pathology | 622 West 168th St, Ph 1564w, New York, NY 10032-3720 | 2008-06-05 |
| 1205911385 | Robert Charles Basner | Internal Medicine | 622 West 168th St, Ph859, New York, NY 10032 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203378 | Private Medical New York, PC | Pediatrics | 110 E 60th St # 808, New York, NY 10022-1688 | 2019-09-04 |
| 1205482452 | Manhattan Valley Pediatrics | Pediatrics | 2637 Broadway, New York, NY 10025-5022 | 2019-08-14 |
| 1891349122 | Amal Khidir | Pediatrics | 445 E 69th St Rm 432, New York, NY 10021-5602 | 2019-07-25 |
| 1154888766 | Amy Leung | Pediatrics | 139 Centre St Ste 314, New York, NY 10013-4554 | 2019-03-01 |
| 1699288795 | Amaranth Pediatric Health, PC | Pediatrics | 210 Canal St Rm 305, New York, NY 10013-4186 | 2017-11-10 |
| 1356862817 | Saroj Choudhary | Pediatrics | 234 E 149th St, Bronx, New York, NY 10451 | 2017-07-05 |
| 1457889487 | Dineeta Kubhar | Pediatrics | 462 1st Ave # Nbv, New York, NY 10016-9196 | 2017-06-03 |
| 1619320835 | Winston Yuen | Pediatrics | 286 South St Apt 14a, New York, NY 10002-8081 | 2016-07-22 |
| 1558714584 | Moonlight Pediatrics of Nyc, P.C. | Pediatrics | 111 W 25th St, New York, NY 10001-7243 | 2016-07-14 |
| 1992153787 | Charlyn Marie Laserna | Pediatrics | 1000 10th Ave Ste 11g, New York, NY 10019-1147 | 2016-06-02 |
| Find all providers in NEW YORK | ||||
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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.