SAMUEL GEDAILOVICH MD
NPI 1013809789
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is Samuel Gedailovich's NPI number?

The NPI number for Samuel Gedailovich is 1013809789. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Q: What is Samuel Gedailovich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 17, 2025

1050 E 17TH ST, BROOKLYN, NY 11230(917) 231-6352 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samuel Gedailovich Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL GEDAILOVICH MD (NPI 1013809789) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1013809789

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL GEDAILOVICHCredential: MD

Location Address1050 E 17TH STBrooklyn, NY 11230-4413

Mailing Address1050 E 17th StBrooklyn, NY 11230-4413 · (917) 231-6352

Phone(917) 231-6352

Sole ProprietorNo

Enumeration DateJuly 17, 2025

NPPES CertifiedJuly 17, 2025

✔ NPI 1013809789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1050 E 17TH ST, Brooklyn, NY 11230

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Gedailovich's NPI number?

The NPI number for Samuel Gedailovich is 1013809789. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Where is Samuel Gedailovich located?

Samuel Gedailovich practices at 1050 E 17th St, Brooklyn, NY 11230. The listed phone number is (917) 231-6352.

What is Samuel Gedailovich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Gedailovich was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.