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SAMANTHA VIVIAN LY RN, BSN
NPI 1033752050
Registered Nurse in Boston, MA

Active since October 22, 2019PECOS Enrolled
780 ALBANY ST, BOSTON, MA 02118(857) 654-1000(857) 654-1100 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Vivian Ly Rn, Bsn NPPES

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

SAMANTHA VIVIAN LY RN, BSN (NPI 1033752050) is an individual registered nurse in Boston, Massachusetts, licensed in Massachusetts (RN2337120) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033752050
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameSAMANTHA VIVIAN LYCredential: RN, BSN
Location Address780 ALBANY STBoston, MA 02118-2755
Mailing Address780 Albany StBoston, MA 02118-2755 · (857) 654-1000 · Fax (857) 654-1100
Phone(857) 654-1000
Fax(857) 654-1100
Sole ProprietorNo
Enumeration DateOctober 22, 2019
✔ NPI 1033752050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in MA · RN2337120
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
780 ALBANY ST, Boston, MA 02118
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Vivian Ly Rn, Bsn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH BAYER LICSW
Social Worker (Clinical)
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
ENID RAMOS RN
Registered Nurse
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
MS. KATHLEEN A. PALIMERI N.P.
Nurse Practitioner
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
DR. ALAN FILZER DDS
Dentist (General Practice)
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
APRIL RAMSEY RN
Registered Nurse
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
GINA PIERRE
Registered Nurse
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
DAVID RACHLIN LICSW
Social Worker (Clinical)
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000

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 Samantha Ly's NPI number?

The NPI number for Samantha Ly is 1033752050. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Where is Samantha Ly located?

Samantha Ly practices at 780 Albany St, Boston, MA 02118. The listed phone number is (857) 654-1000.

What is Samantha Ly's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Samantha Ly enrolled in Medicare?

Yes. Samantha Ly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Ly was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.