SAMUEL WARREN ROSS
NPI 1760941868
Pediatrics - Pediatric Cardiology in Garden City, NY

Q: What is Samuel Ross's NPI number?

The NPI number for Samuel Ross is 1760941868. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Samuel Ross's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Ross was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 March 18, 2019PECOS EnrolledAccepts Medicare Assignment

1111 FRANKLIN AVE, GARDEN CITY, NY 11530(516) 663-4600(516) 663-3008 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 5, 2025, Mar 18, 2019 (2 updates tracked since 2019).

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About Samuel Warren Ross NPPES

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

SAMUEL WARREN ROSS (NPI 1760941868) is an individual pediatric cardiology provider in Garden City, New York, licensed in New York (317200) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2019).

NPPES Registry Identity

NPI1760941868

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameSAMUEL WARREN ROSS

Location Address1111 FRANKLIN AVEGarden City, NY 11530-1617

Mailing Address700 Hicksville Rd Ste 205Bethpage, NY 11714-3472

Phone(516) 663-4600

Fax(516) 663-3008

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateJune 5, 20252 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1760941868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in NY · 317200

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

1111 FRANKLIN AVE, Garden City, NY 11530

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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 Warren Ross 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 ID547599425

PECOS Enrollment IDI20250701001280

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.

PETER MALAMAS MD

Internal Medicine (Cardiovascular Disease)