SAMANTHA GRACE DESTEFANO DO
NPI 1760943724
Anesthesiology in Oceanside, NY
About Samantha Grace Destefano Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA GRACE DESTEFANO DO (NPI 1760943724) is an individual anesthesiology provider in Oceanside, New York, licensed in New York (325036) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and maintains a secondary practice location in Valhalla.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Grace Destefano Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Destefano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roslyn, NY 11576
- Reassigned Medicare billing, New York enrollment
- 162 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center
Acute Care Hospitals · Rockville Centre, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OCEANSIDE, NY 11572
OCEANSIDE, NY 11572
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 Samantha Destefano's NPI number?
The NPI number for Samantha Destefano is 1760943724. It was assigned to this individual provider in the NPPES registry on March 30, 2019.
Where is Samantha Destefano located?
Samantha Destefano practices at 1 Healthy Way, Oceanside, NY 11572. The listed phone number is (516) 632-3000.
What is Samantha Destefano's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Samantha Destefano enrolled in Medicare?
Yes. Samantha Destefano 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.
Which organization bills Medicare for Samantha Destefano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Destefano reassigns Medicare benefits to New York Cardiovascular Anesthesiologists, P.C. (Roslyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Destefano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samantha Destefano affiliated with any hospitals?
According to CMS data, Samantha Destefano is affiliated with Mercy Medical Center.
When was this NPI record last updated?
The NPPES record for Samantha Destefano was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Samantha Grace Destefano, DO · NPI 1760943724
Anesthesiology physician in Oceanside, New York. Individual provider, active in the CMS NPPES registry since March 30, 2019.
## Identity
- **NPI:** 1760943724 (Entity type: Individual)
- **Enumerated:** March 30, 2019
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 325036 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 HEALTHY WAY, Oceanside, NY 11572-1551
- **Phone:** (516) 632-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York Cardiovascular Anesthesiologists, P.C. (NPI 1801834411, Roslyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1760943724) · Data from the CMS NPPES public registry.