1. Home
  2. Directory
  3. New York
  4. Far Rockaway
  5. Dentist
  6. NPI Profile

JAVIER A SAMUDIO DDS
NPI 1679534895
Dentist in Far Rockaway, NY

Active since March 29, 2006
1847 MOTT AVE FL 2, FAR ROCKAWAY, NY 11691(718) 327-7000(718) 471-2071 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Javier A Samudio Dds NPPES

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

JAVIER A SAMUDIO DDS (NPI 1679534895) is an individual dentist in Far Rockaway, New York, licensed in New York (044530) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1679534895
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJAVIER A SAMUDIOCredential: DDS
Location Address1847 MOTT AVE FL 2Far Rockaway, NY 11691-4201
Mailing Address3571 Bunker AveWantagh, NY 11793-3438 · (516) 765-3467 · Fax (718) 471-2071
Phone(718) 327-7000
Fax(718) 471-2071
Sole ProprietorYes
Enumeration DateMarch 29, 2006
Last NPPES UpdateOctober 2, 2012
✔ NPI 1679534895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 044530
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1847 MOTT AVE FL 2, Far Rockaway, NY 11691
Open in Google Maps ↗

Other Identifiers 1

Medicaid01400191NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Javier Samudio's NPI number?

The NPI number for Javier Samudio is 1679534895. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Javier Samudio located?

Javier Samudio practices at 1847 Mott Ave Fl 2, Far Rockaway, NY 11691. The listed phone number is (718) 327-7000.

What is Javier Samudio's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Javier Samudio accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Javier Samudio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Javier Samudio was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.