SAMANTHA J COOK PA-C
NPI 1568932473
Physician Assistant - Surgical in Bronx, NY
About Samantha J Cook Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA J COOK PA-C (NPI 1568932473) is an individual surgical provider in Bronx, New York, licensed in New York (022828) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha J Cook Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BRONX, NY 10467
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 Samantha Cook's NPI number?
The NPI number for Samantha Cook is 1568932473. It was assigned to this individual provider in the NPPES registry on December 4, 2018.
Where is Samantha Cook located?
Samantha Cook practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.
What is Samantha Cook's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Samantha Cook enrolled in Medicare?
Yes. Samantha Cook is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samantha Cook was last updated on June 1, 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.
# Samantha J Cook, PA-C · NPI 1568932473
Surgical physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since December 4, 2018.
## Identity
- **NPI:** 1568932473 (Entity type: Individual)
- **Enumerated:** December 4, 2018
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 022828 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-4321
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1568932473) · Data from the CMS NPPES public registry.