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Deactivated NPI 1164608618 Deactivated / Inactive NPI Female Practitioner

Mary Jane Samach , NP

Nurse Practitioner • Albany, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Samach has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 15, 2008
NPI Deactivation Date September 11, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Mary Samach, NP was a registered Nurse Practitioner practicing in Albany, NY. Throughout an active medical career spanning 12 years, Mary Samach provided care at the practice location at 47 NEW SCOTLAND AVE until profile deactivation on 2020-09-11.

Practice Location & Contact Primary Location

Practice Address

47 New Scotland Ave

Albany, NY 122083412

Telephone 5182625421
Fax 5182625881
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Albany, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
81 Specialists

Practicing in Albany, NY (3155 Statewide)

Telehealth Adoption Rate
7.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY 350283

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Virginia Pfeil , NP

Nurse Practitioner

NPI 1134189541

Nurse Practitioner

Colleen Savage , NP

Nurse Practitioner - Pediatrics

NPI 1255321840

Nurse Practitioner

Dr. Megan Reyes-Wangh , DO

Pediatrics - Neonatal-Perinatal Medicine

NPI 1376831909

Doctor of Osteopathic Medicine (D.O.)

Dr. Marilyn Fisher , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1457343501

Doctor of Medicine (M.D.)

NPI 1497745582

Clinical Social Worker

Dr. Joaquim Pinheiro , MD, MPH

Pediatrics - Neonatal-Perinatal Medicine

NPI 1508851353

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 11, 2020

Record deactivated on September 11, 2020

NPI Profile Active January 15, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 15, 2008

Registered at 47 NEW SCOTLAND AVE, ALBANY, NY 122083412 (Tel: 5182625421)

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Updated Business Mailing Address January 15, 2008

Registered at 47 NEW SCOTLAND AVE, ALBANY, NY 122083412 (Tel: 5182625421)

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Provider Name / Credentials Updated January 15, 2008

Recorded as MARY SAMACH, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2008

Nurse Practitioner (License #350283 in NY)

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Initial NPI Registration & Enumeration January 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164608618
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2008
Last Update: January 15, 2008
Deactivation Date: September 11, 2020

Mailing Address

47 New Scotland Ave

Albany, NY 122083412

Phone: 5182625421

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.