SAMUEL MEDINA
NPI 1619815628
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 23, 2026
420 E 70TH ST, NEW YORK, NY 10021(678) 702-6447 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Medina NPPES

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

SAMUEL MEDINA (NPI 1619815628) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1619815628
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL MEDINA
Location Address420 E 70TH STNew York, NY 10021-5320
Mailing Address420 E 70th StNew York, NY 10021-5320 · (678) 702-6447
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
NPI 1619815628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 E 70TH ST, New York, NY 10021

Other Providers at the Same Location NPPES 8

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

Physician Assistant
420 E 70TH ST
NEW YORK, NY 10021
Anesthesiology
420 E 70TH ST, APT 6C2
NEW YORK, NY 10021
Physician Assistant
420 E 70TH ST
NEW YORK, NY 10021
Nurse Practitioner (Acute Care)
420 E 70TH ST
NEW YORK, NY 10021
Emergency Medicine
420 E 70TH ST
NEW YORK, NY 10021
Nurse Practitioner (Adult Health)
420 E 70TH ST
NEW YORK, NY 10021
Physical Therapist
420 E 70TH ST, APT 14P
NEW YORK, NY 10021
Emergency Medicine
420 E 70TH ST, APT 7F
NEW YORK, NY 10021

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 Samuel Medina's NPI number?

The NPI number for Samuel Medina is 1619815628. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Samuel Medina located?

Samuel Medina practices at 420 E 70th St, New York, NY 10021. The listed phone number is (678) 702-6447.

What is Samuel Medina's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Medina was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.