SAMUEL QIAN
NPI 1669263034
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since May 15, 2025PECOS Enrolled
1 BROOKDALE PLZ, BROOKLYN, NY 11212(718) 240-5667 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2026, May 15, 2025 (2 updates tracked since 2025).

About Samuel Qian NPPES

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

SAMUEL QIAN (NPI 1669263034) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Vincennes.

NPPES Registry Identity

NPI1669263034
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL QIAN
Location Address1 BROOKDALE PLZBrooklyn, NY 11212-3139
Mailing Address605 S Second Ave Apt 202Princeton, IN 47670-0309 · (630) 335-2888
Sole ProprietorNo
Enumeration DateMay 15, 2025
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
NPI 1669263034 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.
1 BROOKDALE PLZ, Brooklyn, NY 11212

Secondary Practice Location 1

Location 1520 S 7th StVincennes, IN 47591-1038 · Phone (812) 885-8520

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel Qian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Radiology (Diagnostic Radiology)
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Internal Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Physician Assistant
1 BROOKDALE PLZ, BROOKDALE UNIVERSITY HOSPITAL & MEDICAL CENTER
BROOKLYN, NY 11212

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 Qian's NPI number?

The NPI number for Samuel Qian is 1669263034. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Where is Samuel Qian located?

Samuel Qian practices at 1 Brookdale Plz, Brooklyn, NY 11212. The listed phone number is (718) 240-5667.

What is Samuel Qian's specialty?

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

Is Samuel Qian enrolled in Medicare?

Yes. Samuel Qian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Qian was last updated on April 10, 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.