SAMSON G VIMALANANDA MD NPI 1578500955

NPI Information

NPI: 1578500955
Provider Name: SAMSON G VIMALANANDA, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
1610 ROUTE 88 FL 3
BRICK, NJ
ZIP 08724
Phone: (732) 295-6543
Get Directions

Samson G Vimalananda, MD is a neurology psychiatry neurology in Brick, NJ with 52 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Samson G Vimalananda, MD NPI is 1578500955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1610 ROUTE 88 FL 3
BRICK, NJ
ZIP 08724-018
Phone: (732) 295-6543

The NPI 1578500955 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 7/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	D20273	MARYLAND	No
2	2084N0400X	Psychiatry & Neurology	Neurology	25MA10657200	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	096890	OTHER	MHN
2	0019	OTHER	BSDC
3	1023561	OTHER	CIGN
4	PVPB76641	OTHER	APS
5	595882	OTHER	MAMS
6	150N131G	OTHER	MBMD
7	221073	OTHER	KAIS
8	253557	OTHER	COMP
9	42225312	OTHER	BSMD
10	461905000	OTHER	MAGE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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