SAMUEL MASTER D.O.
NPI 1720468408
Pediatrics - Adolescent Medicine in New York, NY

Q: What is Samuel Master's NPI number?

The NPI number for Samuel Master is 1720468408. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Q: What is Samuel Master's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Master was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment

622 WEST 168TH ST, VC4, NEW YORK, NY 10032(212) 342-3233(212) 342-4733 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2024, Jul 9, 2018, Jul 7, 2018 (3 updates tracked since 2018).

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About Samuel Master D.o. NPPES

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

SAMUEL MASTER D.O. (NPI 1720468408) is an individual adolescent medicine provider in New York, New York, licensed in New York (294447) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Rowan University School Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1720468408

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameSAMUEL MASTERCredential: D.O.

Location Address622 WEST 168TH ST, VC4New York, NY 10032

Mailing Address622 West 168th St, Vc 4New York, NY 10032 · (212) 342-3200 · Fax (212) 342-4733

Phone(212) 342-3233

Fax(212) 342-4733

Sole ProprietorNo

Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2015

Enumeration DateJune 8, 2015

Last NPPES UpdateDecember 5, 20243 updates tracked since enumeration

NPPES CertifiedDecember 5, 2024

✔ NPI 1720468408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in NY · 294447

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedPediatricsTaxonomy 208000000X · License OT016663 (PA), 294447 (NY)

622 WEST 168TH ST, New York, NY 10032

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Other Identifiers 1

Medicaid22-2540851PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Master D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567708167

PECOS Enrollment IDI20210909000977

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 8

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

DR. MARISSA NADEAU M.D.

Emergency Medicine

622 WEST 168TH ST, VC2-SUITE 260
NEW YORK, NY 10032

New York County (212) 305-2995

DAVID DE VINCK D.O.

Dermatology (Dermatopathology)

622 WEST 168TH ST, PH 1564W
NEW YORK, NY 10032

New York County (212) 305-7399

DR. ROBERT CHARLES BASNER MD

Internal Medicine (Pulmonary Disease)

622 WEST 168TH ST, PH859
NEW YORK, NY 10032

New York County (212) 305-7591

RICHARD FRANCIS M.D.

Pathology (Anatomic Pathology)

622 WEST 168TH ST, PH 1564W
NEW YORK, NY 10032

New York County (212) 305-7399

MR. SIVAGNANAM KESAVAN RPH

Pharmacist

622 WEST 168TH ST, NEW YORK-PRESBYTARIAN HOSPITAL
NEW YORK, NY 10032

New York County (212) 342-8645

KYUNGJUN THOMAS LEE

Student in an Organized Health Care Education/Training Program

622 WEST 168TH ST
NEW YORK, NY 10032

New York County (212) 305-6100

HENRY LIN MD

Emergency Medicine

622 WEST 168TH ST, PH-1-137
NEW YORK, NY 10032

New York County (212) 305-2995

ALEXANDER MICHAEL BEEKMAN MD

Student in an Organized Health Care Education/Training Program

622 WEST 168TH ST, DEPARTMENT OF RADIOLOGY
NEW YORK, NY 10032

New York County (212) 305-4928

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 Master's NPI number?

The NPI number for Samuel Master is 1720468408. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Samuel Master located?

Samuel Master practices at 622 West 168th St Vc4, New York, NY 10032. The listed phone number is (212) 342-3233.

What is Samuel Master's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Samuel Master enrolled in Medicare?

Yes. Samuel Master is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samuel Master was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.