Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MYRA LISA SAMEDY LCSW
NPI 1366090748
Social Worker in East Rutherford, NJ

Q: What is Myra Samedy's NPI number?

The NPI number for Myra Samedy is 1366090748. It was assigned to this individual provider in the NPPES registry on August 29, 2019.

Q: What is Myra Samedy's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Myra Samedy was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.

Active since August 29, 2019PECOS Enrolled

1 MEADOWLANDS PLZ STE 200, EAST RUTHERFORD, NJ 07073(484) 613-1303 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 11, 2026, Aug 29, 2019 (2 updates tracked since 2019).

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About Myra Lisa Samedy Lcsw NPPES

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

MYRA LISA SAMEDY LCSW (NPI 1366090748) is an individual social worker in East Rutherford, New Jersey, licensed in New Jersey (44SL06268400) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366090748

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMYRA LISA SAMEDYCredential: LCSW

Location Address1 MEADOWLANDS PLZ STE 200East Rutherford, NJ 07073-2152

Mailing Address2021 Parkview DrRoselle, NJ 07203-3057 · (973) 687-6668

Phone(484) 613-1303

Sole ProprietorYes

Enumeration DateAugust 29, 2019

Last NPPES UpdateSeptember 11, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2026

✔ NPI 1366090748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NJ · 44SL06268400

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 34617 (MD), SLC200003286 (DC), 0904016676 (VA)

1 MEADOWLANDS PLZ STE 200, East Rutherford, NJ 07073

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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 (PECOS)

Myra Lisa Samedy Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

KASE CARE LLC

Home Health