Shady Samuel
NPI 1245536382 · Pediatric Dentistry · Mineola, NY
Shady Samuel is a Pediatric Dentistry provider in Mineola, NY (NPI 1245536382).
Provider details
- NPI number
- 1245536382
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 055773 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
15 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$50 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-08
- Last updated
- 2017-08-15
Frequently asked questions
- What is Shady Samuel's NPI number?
- Shady Samuel's National Provider Identifier (NPI) is 1245536382, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shady Samuel's specialty?
- Shady Samuel is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Shady Samuel located?
- Shady Samuel's practice location on file with NPPES is 18 Jerome Ave, Mineola, NY 11501-3302.
- What is Shady Samuel's phone number?
- The practice phone number listed in the NPPES registry for Shady Samuel is (718) 268-0452.
- Is Shady Samuel's NPI active?
- Yes — Shady Samuel's NPI (1245536382) is active in the NPPES registry as of the last update on 2017-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.