SAMANTHA JADE QUEVEDO
NPI 1578283941
Nurse Practitioner - Adult Health in Bronx, NY

Q: What is Samantha Quevedo's NPI number?

The NPI number for Samantha Quevedo is 1578283941. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Q: What is Samantha Quevedo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Quevedo was last updated on April 14, 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.

Active since August 29, 2022

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 583-7736(718) 537-6180 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2023, Aug 29, 2022 (2 updates tracked since 2022).

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About Samantha Jade Quevedo NPPES

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

SAMANTHA JADE QUEVEDO (NPI 1578283941) is an individual adult health provider in Bronx, New York, licensed in New York (F310654) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1578283941

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSAMANTHA JADE QUEVEDO

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address2626 Halperin AveBronx, NY 10461-2631 · (718) 618-0401 · Fax (347) 479-1303

Phone(718) 583-7736

Fax(718) 537-6180

Sole ProprietorYes

Enumeration DateAugust 29, 2022

Last NPPES UpdateApril 14, 20232 updates tracked since enumeration

NPPES CertifiedApril 14, 2023

✔ NPI 1578283941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F310654

2015 GRAND CONCOURSE, Bronx, NY 10453

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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)