NIDHIN SAMUEL
NPI 1306518915
Nurse Practitioner - Psychiatric/Mental Health in Island Park, NY

Active since October 01, 2021
1 LONG BEACH RD, ISLAND PARK, NY 11558(516) 432-0300 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2021, Oct 1, 2021 (2 updates tracked since 2021).

About Nidhin Samuel NPPES

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

NIDHIN SAMUEL (NPI 1306518915) is an individual psychiatric/mental health provider in Island Park, New York, licensed in New York (F403257-01) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1306518915
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNIDHIN SAMUEL
Location Address1 LONG BEACH RDIsland Park, NY 11558-2254
Mailing Address1 Long Beach RdIsland Park, NY 11558-2254
Sole ProprietorYes
Enumeration DateOctober 1, 2021
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
NPI 1306518915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · F403257-01
1 LONG BEACH RD, Island Park, NY 11558

Other Providers at the Same Location NPPES 6

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

General Practice
1 LONG BEACH RD
ISLAND PARK, NY 11558
Psychiatry & Neurology (Psychiatry)
1 LONG BEACH RD
ISLAND PARK, NY 11558
Internal Medicine
1 LONG BEACH RD
ISLAND PARK, NY 11558
Internal Medicine
1 LONG BEACH RD
ISLAND PARK, NY 11558
Skilled Nursing Facility
1 LONG BEACH RD
ISLAND PARK, NY 11558
Skilled Nursing Facility
1 LONG BEACH RD
ISLAND PARK, NY 11558

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 Nidhin Samuel's NPI number?

The NPI number for Nidhin Samuel is 1306518915. It was assigned to this individual provider in the NPPES registry on October 1, 2021.

Where is Nidhin Samuel located?

Nidhin Samuel practices at 1 Long Beach Rd, Island Park, NY 11558. The listed phone number is (516) 432-0300.

What is Nidhin Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Nidhin Samuel was last updated on December 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.