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SAMUEL ROUSH MD
NPI 1346931557
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since May 18, 2023
101 NICOLLS RD, DEPARTMENT OF PATHOLOGY, LEVEL 2 - 749, STONY BROOK, NY 11794(631) 444-2222 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Roush Md NPPES

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

SAMUEL ROUSH MD (NPI 1346931557) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1346931557
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL ROUSHCredential: MD
Location Address101 NICOLLS RD, DEPARTMENT OF PATHOLOGY, LEVEL 2 - 749Stony Brook, NY 11794-0001
Mailing Address101 Nicolls Rd, Department Of Pathology, Level 2 - 749Stony Brook, NY 11794-0001 · (631) 444-2222
Phone(631) 444-2222
Sole ProprietorNo
Enumeration DateMay 18, 2023
NPPES CertifiedMay 17, 2023
✔ NPI 1346931557 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.
101 NICOLLS RD, Stony Brook, NY 11794
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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.

NARINDER SINGH M.D.
Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
DR. KANHAI FARRAKHAN MD
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-0580
MS. HAYLEY ALEXANDRA MENA LMSW
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (516) 761-4107
MRS. HEATHER MARIE CALIGIURI ANP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 631-4449
MR. SAM TARIK MENDOUNE I NP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 335-1657
ALEXIE LESSING
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4686
DR. BENJAMIN RISMANY MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
JULIA RYAN MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333

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 Roush's NPI number?

The NPI number for Samuel Roush is 1346931557. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Samuel Roush located?

Samuel Roush practices at 101 Nicolls Rd Department Of Pathology, Level 2 - 749, Stony Brook, NY 11794. The listed phone number is (631) 444-2222.

What is Samuel Roush'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 Roush was last updated on May 18, 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.