- Practice location
- 25 Smith St Fl 2, Nanuet, NY 10954-2912
- Phone
- 845-623-7100
- Fax
- —
- Last updated
- August 29, 2022
Jaimie Vettichira Samuel is a Pediatrics based in Nanuet, NY. Jaimie Vettichira Samuel practices in Nanuet, NY and has the professional credentials of DO. The NPI Number for Jaimie Vettichira Samuel is 1629479563 and holds a License No. 0102205729 (VA). The current practice location address for Jaimie Vettichira Samuel is 25 Smith St Fl 2, Nanuet, NY 10954-2912 and can be reached out via phone at 845-623-7100.
Provider Profile Details
- NPI Number
- 1629479563
- Provider Name
- Jaimie Vettichira Samuel
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25 Smith St Fl 2, Nanuet, NY 10954-2912
- Phone Number
- 845-623-7100
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 10, 2014
- Last Update Date
- August 29, 2022
- Certification Date
- August 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Smith St Fl 2
Nanuet, NY 10954-2912 - City
- Nanuet
- State
- New York
- Zip
- 10954-2912
- Phone Number
- 845-623-7100
Provider Business Mailing Address Details
- Address
- 22 Poplar St
Elmsford, NY 10523-3726 - City
- Elmsford
- State
- NY
- Zip
- 10523-3726
- Phone Number
- 914-409-3103
License Information
- License Number (1)
- 0102205729
- License State (1)
- VA
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 280311
- License State (2)
- NY
- Taxonomy (2)
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Nanuet, NY
View all Pediatrics providers in Nanuet →Frequently Asked Questions
What is the NPI number of Jaimie V Samuel, DO?
The NPI number of Jaimie V Samuel, DO is 1629479563. It was assigned on September 10, 2014 and is currently active in the NPPES registry.
What is the specialty of Jaimie V Samuel, DO?
Jaimie V Samuel, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in VA under license number 0102205729.
Where does Jaimie V Samuel, DO practice?
The practice location is 25 Smith St Fl 2, Nanuet, NY 10954-2912. The office can be reached at 845-623-7100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629479563 directly on the NPPES registry website.