MS. STACEY SAMUELS
NPI 1497026124
Nurse Practitioner - Family in Bronx, NY

Q: What is Stacey Samuels's NPI number?

The NPI number for Stacey Samuels is 1497026124. It was assigned to this individual provider in the NPPES registry on January 26, 2012.

Q: What is Stacey Samuels's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Samuels was last updated on October 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 26, 2012

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2018, Apr 23, 2018 (2 updates tracked since 2018).

On this page

About Ms. Stacey Samuels NPPES

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

MS. STACEY SAMUELS (NPI 1497026124) is an individual family provider in Bronx, New York, licensed in New York (F-340009-1) and active in the NPI registry since January 2012. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1497026124

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. STACEY SAMUELS

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address3198 Grand ConcourseBronx, NY 10458-1000 · (718) 618-0401

Phone(718) 299-7295

Sole ProprietorYes

Enumeration DateJanuary 26, 2012

Last NPPES UpdateOctober 30, 20182 updates tracked since enumeration

✔ NPI 1497026124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F-340009-1

Also ListedRegistered NurseTaxonomy 163W00000X · License 524100-1 (NY)

2015 GRAND CONCOURSE, Bronx, NY 10453

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1211 Beach 90th StRockaway Beach, NY 11693-1501 · Phone (347) 671-7575 · Fax (718) 989-9256

Location 2476 48th St Fl 4Brooklyn, NY 11220-1954 · Phone (347) 671-7575 · Fax (718) 989-9256

Location 3721 Flushing AveBrooklyn, NY 11206-4448 · Phone (347) 671-7575 · Fax (718) 989-9256

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.

MANA RAO M.D.

Internal Medicine (Infectious Disease)