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Angella Samson

Physician • Brooklyn, NY

Active NPI 1043817463 Individual Practitioner Female Practitioner
Practice location in NPPES

1346 Granville Payne Ave
Brooklyn, NY 112392103

Call 7186422727 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1346 Granville Payne Ave

Brooklyn, NY 112392103

Telephone 7186422727
Organization at the Same NPPES Address or Phone
Cvs Albany Llc Facility NPI 1760586523

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-08
Pharmacy - Community/Retail Pharmacy Primary Specialty

NUCC Taxonomy Code: 3336C0003X

License # reported to NPPES NY 067200

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Nysed License Number
067200 (NY)

Career & Practice History

NPI enumerated October 08, 2020.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from October 2020 to August 2026.

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NPI Administrative Meta

NPI Number: 1043817463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2020
Last Update: October 08, 2020
Sole Proprietor: Yes

Mailing Address

3320 Avenue R

Brooklyn, NY 112344434

Phone: 7188665119

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.