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SAMUEL JACK AHMAD MD
NPI 1073216149
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since March 27, 2023
475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-8313 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Jack Ahmad Md NPPES

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

SAMUEL JACK AHMAD MD (NPI 1073216149) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1073216149
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL JACK AHMADCredential: MD
Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436
Mailing Address475 Seaview AveStaten Island, NY 10305-3436
Phone(718) 226-8313
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 25, 2023
✔ NPI 1073216149 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.
475 SEAVIEW AVE, Staten Island, NY 10305
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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.

MRS. DAWN MARIE COTTONE RPA-C
Physician Assistant (Surgical)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9508
SHAMYLA FARRUKH MD
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9158
MS. CHRISTINE ANN SPRUFERO CCC - SLP
Speech-Language Pathologist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-6521
DR. SAMANTHA MARIA LEE MD
Internal Medicine (Cardiovascular Disease)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9510
DR. SHOROK E HASSAN D.O.
Emergency Medicine
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
DAVID K CHEN MD
Anesthesiology
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9000
STEPHANIE M POWERS
Occupational Therapist
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (718) 226-9466
KRISTEN COLANDREA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
475 SEAVIEW AVE
STATEN ISLAND, NY 10305
Richmond County (347) 681-4146

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 Ahmad's NPI number?

The NPI number for Samuel Ahmad is 1073216149. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Samuel Ahmad located?

Samuel Ahmad practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-8313.

What is Samuel Ahmad'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 Ahmad was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.