KHADIJA SAMUEL FNP-BC
NPI 1104504653
Nurse Practitioner - Family in New York, NY

Active since July 06, 2023
156 WILLIAM ST, NEW YORK, NY 10038(646) 998-5168 Get Directions Write a Review

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

Record update history: Sep 1, 2023, Jul 26, 2023, Jul 6, 2023 (3 updates tracked since 2023).

About Khadija Samuel Fnp-bc NPPES

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

KHADIJA SAMUEL FNP-BC (NPI 1104504653) is an individual family provider in New York, New York, licensed in New York (350014) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1104504653
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKHADIJA SAMUELCredential: FNP-BC
Location Address156 WILLIAM STNew York, NY 10038-2609
Mailing Address156 William StNew York, NY 10038-2609
Sole ProprietorNo
Enumeration DateJuly 6, 2023
Last NPPES UpdateFebruary 27, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2026
NPI 1104504653 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 NY · 350014
156 WILLIAM ST, New York, NY 10038

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.

Psychologist
156 WILLIAM ST, COUNSELING CENTER, 8TH FLOOR
NEW YORK, NY 10038
Occupational Therapist
156 WILLIAM ST
NEW YORK, NY 10038
Nurse Practitioner (Family)
156 WILLIAM ST, 11TH FLOOR
NEW YORK, NY 10038
Occupational Therapist
156 WILLIAM ST
NEW YORK, NY 10038
Internal Medicine
156 WILLIAM ST
NEW YORK, NY 10038
Speech-Language Pathologist
156 WILLIAM ST
NEW YORK, NY 10038
Nurse Practitioner (Acute Care)
156 WILLIAM ST
NEW YORK, NY 10038
Internal Medicine
156 WILLIAM ST, 7TH FL
NEW YORK, NY 10038

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 Khadija Samuel's NPI number?

The NPI number for Khadija Samuel is 1104504653. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Where is Khadija Samuel located?

Khadija Samuel practices at 156 William St, New York, NY 10038. The listed phone number is (646) 998-5168.

What is Khadija Samuel'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 Khadija Samuel was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.