1. Home
  2. Directory
  3. Connecticut
  4. Mystic
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

FADY SAMY
NPI 1982508545
Student in an Organized Health Care Education/Training Program in Mystic, CT

Active since October 06, 2026
25 BROADWAY AVE, MYSTIC, CT 06355(860) 536-5635(860) 536-7492 Get Directions Write a Review

NPPES record added: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Fady Samy NPPES

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

FADY SAMY (NPI 1982508545) is an individual student in an organized health care education/training program in Mystic, Connecticut, licensed in Connecticut (PCI.0010347) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1982508545
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFADY SAMY
Location Address25 BROADWAY AVEMystic, CT 06355-2834
Mailing Address145 Laurelwood RdGroton, CT 06340-4277
Phone(860) 536-5635
Fax(860) 536-7492
Sole ProprietorNo
Enumeration DateOctober 6, 2026
NPPES CertifiedOctober 6, 2026
✔ NPI 1982508545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CT · PCI.0010347
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
25 BROADWAY AVE, Mystic, CT 06355
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

RACHEL QUINN HOWARD PHARMD
Pharmacist
25 BROADWAY AVE
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-5635
CONNECTICUT CVS PHARMACY, L.L.C.
Pharmacy
25 BROADWAY AVE
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-5639
DAWN MANFERDINI PHARM.D.
Pharmacist
25 BROADWAY AVE
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-5635
ELISABETH REID
Pharmacist
25 BROADWAY AVE
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 536-5635

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 Fady Samy's NPI number?

The NPI number for Fady Samy is 1982508545. It was assigned to this individual provider in the NPPES registry on October 6, 2026.

Where is Fady Samy located?

Fady Samy practices at 25 Broadway Ave, Mystic, CT 06355. The listed phone number is (860) 536-5635.

What is Fady Samy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Fady Samy was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.