SAM SSEGAWA FNP
NPI 1043019821
Nurse Practitioner - Family in Tewksbury, MA

Q: What is Sam Ssegawa's NPI number?

The NPI number for Sam Ssegawa is 1043019821. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Q: What is Sam Ssegawa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sam Ssegawa was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 12, 2025

5 RIVERDALE AVE, TEWKSBURY, MA 01876(781) 330-5932 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 19, 2025, Mar 15, 2025 (2 updates tracked since 2025).

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About Sam Ssegawa Fnp NPPES

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

SAM SSEGAWA FNP (NPI 1043019821) is an individual family provider in Tewksbury, Massachusetts, licensed in Massachusetts (RN2369613) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1043019821

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSAM SSEGAWACredential: FNP

Location Address5 RIVERDALE AVETewksbury, MA 01876-2332

Mailing Address5 Riverdale AveTewksbury, MA 01876-2332 · (781) 330-5932

Phone(781) 330-5932

Sole ProprietorNo

Enumeration DateMarch 12, 2025

Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1043019821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MA · RN2369613

5 RIVERDALE AVE, Tewksbury, MA 01876

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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 Sam Ssegawa's NPI number?

The NPI number for Sam Ssegawa is 1043019821. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Where is Sam Ssegawa located?

Sam Ssegawa practices at 5 Riverdale Ave, Tewksbury, MA 01876. The listed phone number is (781) 330-5932.

What is Sam Ssegawa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sam Ssegawa was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.