MR. JAN VINCENT SAMSON MSN, NP
NPI 1629420088
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Q: What is Jan Vincent Samson's NPI number?

The NPI number for Jan Vincent Samson is 1629420088. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Q: What is Jan Vincent Samson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 11, 2016

330 W 55TH ST APT 3B, NEW YORK, NY 10019(818) 809-6077 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2019, Mar 17, 2018, Oct 16, 2017 and 2 more (5 updates tracked since 2016).

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About Mr. Jan Vincent Samson Msn, Np NPPES

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

MR. JAN VINCENT SAMSON MSN, NP (NPI 1629420088) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (402290) and active in the NPI registry since July 2016. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1629420088

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. JAN VINCENT SAMSONCredential: MSN, NP

Location Address330 W 55TH ST APT 3BNew York, NY 10019-5117

Mailing Address330 W 55th St Apt 3bNew York, NY 10019-5117

Phone(818) 809-6077

Sole ProprietorNo

Enumeration DateJuly 11, 2016

Last NPPES UpdateJanuary 21, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2025

✔ NPI 1629420088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 402290

Also ListedRegistered NurseTaxonomy 163W00000X · License 708135 (NY)

330 W 55TH ST APT 3B, New York, NY 10019

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Secondary Practice Locations 3

Location 180 8th Ave Ste 711New York, NY 10011-7176 · Phone (917) 765-8579

Location 2109 W 27th St Ste 5SNew York, NY 10001-6208 · Phone (917) 634-5311

Location 3356 W 18th StNew York, NY 10011-4401 · Phone (212) 937-4858 · Fax (212) 271-7225

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 Jan Vincent Samson's NPI number?

The NPI number for Jan Vincent Samson is 1629420088. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Jan Vincent Samson located?

Jan Vincent Samson practices at 330 W 55th St Apt 3B, New York, NY 10019. The listed phone number is (818) 809-6077.

What is Jan Vincent Samson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jan Vincent Samson was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.