VADIM SAMOUS
NPI 1629201470
Licensed Practical Nurse in Staten Island, NY

Active since August 27, 2009
15 MICHELLE LN, STATEN ISLAND, NY 10306(718) 619-3810 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vadim Samous NPPES

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

VADIM SAMOUS (NPI 1629201470) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (288859) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1629201470
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameVADIM SAMOUS
Location Address15 MICHELLE LNStaten Island, NY 10306-5669
Mailing Address15 Michelle LnStaten Island, NY 10306-5669
Sole ProprietorNo
Enumeration DateAugust 27, 2009
NPI 1629201470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 288859
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
15 MICHELLE LN, Staten Island, NY 10306

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 Vadim Samous's NPI number?

The NPI number for Vadim Samous is 1629201470. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Where is Vadim Samous located?

Vadim Samous practices at 15 Michelle Ln, Staten Island, NY 10306. The listed phone number is (718) 619-3810.

What is Vadim Samous's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Vadim Samous was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.