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DR. ROYA R SAMUELS M.D.
NPI 1821262585
Pediatrics in Far Rockaway, NY

Active since April 14, 2008PECOS Enrolled
1212 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691(516) 696-9540(516) 696-9541 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Roya R Samuels M.d. NPPES

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

DR. ROYA R SAMUELS M.D. (NPI 1821262585) is an individual pediatrics provider in Far Rockaway, New York, licensed in New York (244414-1) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Hyde Park.

NPPES Registry Identity

NPI1821262585
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ROYA R SAMUELSCredential: M.D.
Location Address1212 SEAGIRT BLVDFar Rockaway, NY 11691-5614
Mailing Address212 Beach 13th St Ste 301Far Rockaway, NY 11691-5614 · (718) 407-7300 · Fax (347) 735-5623
Phone(516) 696-9540
Fax(516) 696-9541
Sole ProprietorNo
Enumeration DateApril 14, 2008
Last NPPES UpdateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1821262585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 244414-1
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1212 SEAGIRT BLVD, Far Rockaway, NY 11691
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Secondary Practice Location 1

Location 1410 Lakeville Rd Ste 108New Hyde Park, NY 11042-1102 · Phone (516) 465-4377

Other Identifiers 1

Medicaid03119380NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roya R Samuels M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Roya Samuels reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC
11 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Premium Health Inc
11 mi
Federally Qualified Health Center (FQHC)
1010 MCDONALD AVE
Brooklyn, NY 11230
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group
NPI 1609129402 (718) 407-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11691 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

PREMIUM HEALTH INC
Clinic/Center
1212 SEAGIRT BLVD
FAR ROCKAWAY, NY 11691
Queens County (718) 407-7300

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 Roya Samuels's NPI number?

The NPI number for Roya Samuels is 1821262585. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Roya Samuels located?

Roya Samuels practices at 1212 Seagirt Blvd, Far Rockaway, NY 11691. The listed phone number is (516) 696-9540.

What is Roya Samuels's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Roya Samuels enrolled in Medicare?

Yes. Roya Samuels is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Roya Samuels's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roya Samuels reassigns Medicare benefits to 2 organizations: North Shore - Lij Medical PC (New Hyde Park, NY) and Premium Health Inc (Brooklyn, NY). Each 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 Roya Samuels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roya Samuels was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.