SAMANTHA FERNANDES
NPI 1861880726
Student in an Organized Health Care Education/Training Program in Brooklyn, NY
About Samantha Fernandes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA FERNANDES (NPI 1861880726) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Fernandes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BROOKLYN, NY 11203
BROOKLYN, NY 11203
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 Fernandes's NPI number?
The NPI number for Samantha Fernandes is 1861880726. It was assigned to this individual provider in the NPPES registry on December 30, 2014.
Where is Samantha Fernandes located?
Samantha Fernandes practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-2012.
What is Samantha Fernandes's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Samantha Fernandes enrolled in Medicare?
Yes. Samantha Fernandes is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samantha Fernandes was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Fernandes · NPI 1861880726
Student in an Organized Health Care Education/Training Program provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since December 30, 2014.
## Identity
- **NPI:** 1861880726 (Entity type: Individual)
- **Enumerated:** December 30, 2014
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 450 CLARKSON AVE, Brooklyn, NY 11203-2012
- **Phone:** (718) 270-2012
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1861880726) · Data from the CMS NPPES public registry.