SAMUEL SOFFER MD
NPI 1093875114
Surgery - Pediatric Surgery in New Hyde Park, NY
About Samuel Soffer Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL SOFFER MD (NPI 1093875114) is an individual pediatric surgery provider in New Hyde Park, New York, licensed in New York (211707) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Soffer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samuel Soffer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Soffer's NPI number?
The NPI number for Samuel Soffer is 1093875114. It was assigned to this individual provider in the NPPES registry on December 11, 2006.
Where is Samuel Soffer located?
Samuel Soffer practices at Lijmc Dept Of Surgery Peds Surgery 270 05 76th Avenue, New Hyde Park, NY 11040. The listed phone number is (718) 470-3636.
What is Samuel Soffer's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Samuel Soffer enrolled in Medicare?
Yes. Samuel Soffer is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samuel Soffer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Soffer reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Soffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Soffer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Samuel Soffer, MD · NPI 1093875114
Pediatric Surgery physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since December 11, 2006.
## Identity
- **NPI:** 1093875114 (Entity type: Individual)
- **Enumerated:** December 11, 2006
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 211707 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** LIJMC DEPT OF SURGERY PEDS SURGERY, 270 05 76TH AVENUE, New Hyde Park, NY 11040
- **Phone:** (718) 470-3636
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1093875114) · Data from the CMS NPPES public registry.