SHAWN KUNJUMON SAMUEL (NPI# 1649366204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649366204 |
| Entity Type | Individual |
| Full Name | SHAWN KUNJUMON SAMUEL |
| Credential | DO |
| Practice Address |
56-45 Main Street Room # 637 Flushing NY 11355 |
| Mailing Address |
Po Box 27842 New York NY 10087 |
| Practice Telephone | 7186701424 |
| Practice Fax Number | 5164374167 |
| Mailing Telephone | 7186701651 |
| Mailing Fax Number | 5164374167 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 239243 | NY | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 239243 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
56-45 MAIN STREET ROOM # 637 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457331613 | Rajeev Dayal | Surgery | 56-45 Main Street, Flushing, NY 11355-5045 | 2006-01-21 |
| 1265058184 | Joonsung Yeom | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355 | 2020-06-17 |
| 1710508551 | Renato Rezende Savian | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, New York Presbyterian Queens, Flushing, NY 11355 | 2020-05-04 |
| 1194346460 | Rehan Muhammad | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355 | 2020-04-28 |
| 1861012668 | Omar Saab | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355 | 2020-04-21 |
| 1700406733 | Diana Wang | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355 | 2020-04-20 |
| 1205456555 | Vidhi V Rao | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355-5045 | 2020-04-16 |
| 1639799919 | Tina Yang | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355 | 2020-04-16 |
| 1386201259 | Steven Yann Shiuh Chen | Student in an Organized Health Care Education/Training Program | 56-45 Main Street, Flushing, NY 11355 | 2019-05-24 |
| 1982161345 | Anna Ploska | Physician Assistant | 56-45 Main Street, Flushing, NY 11355 | 2019-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
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| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093733396 | Nyhmcq-hospitalists | Hospitalist | 5645 Main St, #637, Flushing, NY 11355-5045 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274454 | Nisar Alvi M.d. P.C. | Hospitalist | 2613 Pinebluff Dr, Vestal, NY 13850-2909 | 2017-02-20 |
| 1194172171 | Milna Rose Rufin | Hospitalist | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2016-05-19 |
| 1831553809 | Fatima Chaudhri | Hospitalist | 1st Avenue At E16th Street, New York, NY 10003-2925 | 2016-04-06 |
| 1174986228 | Niyati Ajit Bhagwat | Hospitalist | Nyu Winthrop Hospital, 259 1st Street, Mineola, NY 11501 | 2016-04-05 |
| 1902269806 | Lindsey Fox | Hospitalist | 1111 Amsterdam Ave Dept Of, New York, NY 10025-1716 | 2016-03-30 |
| 1538520440 | Myung Sun Choi | Hospitalist | 1425 Portland Ave Ste 204, Rochester, NY 14621-3011 | 2016-03-19 |
| 1992177711 | Saroj Sapkota | Hospitalist | 11111 Liberty Ave, South Richmond Hill, NY 11419-1811 | 2015-10-21 |
| 1255715116 | Shorabh Sharma | Hospitalist | 4422 Third Ave Mills Building, Department of Internal Medicine, Bronx, NY 10457 | 2015-07-10 |
| 1689051740 | John Richard Shultz | Hospitalist | 43 New Scotland Ave # Mc23, Albany, NY 12208 | 2015-04-28 |
| 1659787653 | Symphony Medical PC | Hospitalist | 27 S Washington Ave, Dobbs Ferry, NY 10522-1806 | 2014-07-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.