Dr. Engracio C Samala , MD
Specialist • Flushing, NY
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, Dr. Engracio Samala has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Engracio Samala, MD was a registered Specialist practicing in Flushing, NY. Throughout an active medical career spanning 15 years, Dr. Samala provided care at the practice location at 15806 NORTHERN BLVD until profile deactivation on 2020-07-17.
Practice Location & Contact Primary Location
15806 Northern Blvd
Flushing, NY 113581641
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Flushing, NY
Practicing in Flushing, NY (23296 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Nurse Practitioner
Radiology - Radiation Oncology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 17, 2020
NPI status registered as active in NPPES database
Registered at 15806 NORTHERN BLVD, FLUSHING, NY 113581641 (Tel: 7184453700)
Registered at 15806 NORTHERN BLVD, FLUSHING, NY 113581641 (Tel: 7184453700)
Recorded as ENGRACIO SAMALA, M.D.
Specialist (License #135970 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
15806 Northern Blvd
Flushing, NY 113581641
Phone: 7184453700
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