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Samantha Deriso, LPN
NPI 1790910131 · Licensed Practical Nurse · Staten Island, NY
Samantha Deriso, LPN is a Licensed Practical Nurse provider in Staten Island, NY (NPI 1790910131).
Provider details
- NPI number
- 1790910131
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 295075 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
1477 Hylan Blvd
Staten Island, NY 10305-1906
Phone: (718) 979-6900
Street-level locationGet directions
Mailing address
316 Adams Ave
Staten Island, NY 10306-5216
Registry dates
- Enumerated
- 2009-05-28
- Last updated
- 2009-05-28
Frequently asked questions
- What is Samantha Deriso's NPI number?
- Samantha Deriso's National Provider Identifier (NPI) is 1790910131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Deriso's specialty?
- Samantha Deriso is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Samantha Deriso located?
- Samantha Deriso's practice location on file with NPPES is 1477 Hylan Blvd, Staten Island, NY 10305-1906.
- What is Samantha Deriso's phone number?
- The practice phone number listed in the NPPES registry for Samantha Deriso is (718) 979-6900.
- Is Samantha Deriso's NPI active?
- Yes — Samantha Deriso's NPI (1790910131) is active in the NPPES registry as of the last update on 2009-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.