1. Home
  2. Directory
  3. New York
  4. Massapequa Park
  5. Physician Assistant
  6. NPI Profile

SAMANTHA JEAN-GUILLAUME DESSOURCES PA-C
NPI 1598309510
Physician Assistant in Massapequa Park, NY

Active since November 01, 2019
4954 MERRICK RD, MASSAPEQUA PARK, NY 11762(516) 308-7255 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2022, Dec 9, 2021, Nov 1, 2019 (3 updates tracked since 2019).

About Samantha Jean-guillaume Dessources Pa-c NPPES

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

SAMANTHA JEAN-GUILLAUME DESSOURCES PA-C (NPI 1598309510) is an individual physician assistant in Massapequa Park, New York, licensed in New York (025045-01) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1598309510
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA JEAN-GUILLAUME DESSOURCESCredential: PA-C
Location Address4954 MERRICK RDMassapequa Park, NY 11762
Mailing Address4954 Merrick RdMassapequa Park, NY 11762 · (516) 308-7255
Phone(516) 308-7255
Sole ProprietorNo
Enumeration DateNovember 1, 2019
Last NPPES UpdateApril 6, 20223 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1598309510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 025045-01
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4954 MERRICK RD, Massapequa Park, NY 11762
Open in Google Maps ↗

Other Names 1

Former Name (1)Samantha Jean-guillaume

Other Providers at the Same Location NPPES

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

DR. MAUREEN ANN MARTUS O.D.
Optometrist
4954 MERRICK RD
MASSAPEQUA PARK, NY 11762
Nassau County (516) 799-6500

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 Dessources's NPI number?

The NPI number for Samantha Dessources is 1598309510. It was assigned to this individual provider in the NPPES registry on November 1, 2019. The provider is also known as Samantha Jean-Guillaume.

Where is Samantha Dessources located?

Samantha Dessources practices at 4954 Merrick Rd, Massapequa Park, NY 11762. The listed phone number is (516) 308-7255.

What is Samantha Dessources's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Samantha Dessources was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.