Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417180852 Individual Practitioner Male Practitioner

Dr. Sanjay Samuel , MD

General Practice • Brockport, NY

Professional Overview & Biography Verified Profile Summary

Dr. Sanjay Samuel, MD is a registered healthcare professional specializing in General Practice in Brockport, NY. Practice services are available at 156 WEST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

156 West Ave

Brockport, NY 144201229

Telephone 5856373131
Fax 5853956036
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Brockport, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Brockport, NY (818 Statewide)

Telehealth Adoption Rate
0.0% 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 254678

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Obstetrics & Gynecology

NUCC Taxonomy Code: 207V00000X

State License NY 254678

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Gwen Delany , NP

Nurse Practitioner - Adult Health

NPI 1649389792

Nurse Practitioner

Peter Simone , RPA-C

Physician Assistant

NPI 1740466473

RPAC

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active September 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2017

Registered at 156 WEST AVE, BROCKPORT, NY 144201229 (Tel: 5856373131)

📍
Updated Business Mailing Address September 13, 2017

Registered at 156 WEST AVE, BROCKPORT, NY 144201229 (Tel: 5856373131)

👤
Provider Name / Credentials Updated September 13, 2017

Recorded as SANJAY SAMUEL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2017

Obstetrics & Gynecology (License #254678 in NY)

NPI Profile Active March 22, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2012

Registered at 156 WEST AVE, BROCKPORT, NY 144201229 (Tel: 5856373131)

📍
Updated Business Mailing Address March 22, 2012

Registered at 156 WEST AVE, BROCKPORT, NY 144201229 (Tel: 5856373131)

👤
Provider Name / Credentials Updated March 22, 2012

Recorded as SANJAY SAMUEL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2012

Obstetrics & Gynecology (License #254678 in NY)

🟢
Initial NPI Registration & Enumeration September 02, 2009

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: 1417180852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2009
Last Update: September 13, 2017
Sole Proprietor: No

Mailing Address

156 West Ave

Brockport, NY 144201229

Phone: 5856373131

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.