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NPI · 1770366304 · NPPES-sourced

Samantha Tanen PA-C

ActivePhysician Assistant
NPI Number
1770366304
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(718) 925-3475
License NY · 030613
Last Updated
About 7 months ago (Nov 2025)
Enumerated 2023-08-16
Primary practice addressNY · 11414-1010
13525 79th StHoward Beach, NY 11414-1010
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About this NPIWhat this record shows.

NPI 1770366304 is registered to Samantha Tanen PA-C, a Physician Assistant practising at 13525 79th St in Howard Beach, New York. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Samantha Tanen PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2023.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2023-08-16
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Samantha Tanen PA-C accepts. To confirm in-network status with your specific health plan, contact Samantha Tanen PA-C directly at (718) 925-3475.

Frequently asked

Yes. NPI 1770366304 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (718) 925-3475.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Samantha Tanen PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated2025-11
Enumerated2023-08-16
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Physician Assistant providers in New York.

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