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DR. STANLEY SAMUEL M.D.
NPI 1083047658
Psychiatry & Neurology - Addiction Psychiatry in Brooklyn, NY

Active since August 18, 2013PECOS EnrolledAccepts Medicare Assignment
2925 WEST 19TH STREET, BROOKLYN, NY 11224(718) 616-6029 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2021, Dec 13, 2018, Mar 21, 2016 (3 updates tracked since 2016).

About Dr. Stanley Samuel M.d. NPPES

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

DR. STANLEY SAMUEL M.D. (NPI 1083047658) is an individual addiction psychiatry provider in Brooklyn, New York, licensed in New York (278507) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1083047658
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NameDR. STANLEY SAMUELCredential: M.D.
Location Address2925 WEST 19TH STREETBrooklyn, NY 11224
Mailing Address12851 Heacock StreetMoreno Valley, CA 92553 · (214) 404-0181
Phone(718) 616-6029
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 18, 2013
Last NPPES UpdateNovember 2, 20213 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1083047658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in NY · 278507
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 278507 (NY)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 278507 (NY)
2925 WEST 19TH STREET, Brooklyn, NY 11224
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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 and accepts Medicare assignment

Dr. Stanley Samuel M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294042008
PECOS Enrollment IDI20190301001832
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

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

DR. LISA BARON PH.D.
Psychologist
2925 WEST 19TH STREET
BROOKLYN, NY 11224
Kings County (718) 616-6028

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 Stanley Samuel's NPI number?

The NPI number for Stanley Samuel is 1083047658. It was assigned to this individual provider in the NPPES registry on August 18, 2013.

Where is Stanley Samuel located?

Stanley Samuel practices at 2925 West 19th Street, Brooklyn, NY 11224. The listed phone number is (718) 616-6029.

What is Stanley Samuel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Stanley Samuel enrolled in Medicare?

Yes. Stanley Samuel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stanley Samuel was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.