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Samuel Dickerson, LPN
NPI 1902139447 · Licensed Practical Nurse · Roosevelt, NY
Samuel Dickerson, LPN is a Licensed Practical Nurse provider in Roosevelt, NY (NPI 1902139447).
Provider details
- NPI number
- 1902139447
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 241150-1 (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
16 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
95 W Greenwich Ave
Roosevelt, NY 11575-1035
Phone: (516) 481-3421
Fax: (516) 665-3798
Street-level locationGet directions
Mailing address
95 W Greenwich Ave
Roosevelt, NY 11575-1035
Registry dates
- Enumerated
- 2009-09-16
- Last updated
- 2009-09-16
Frequently asked questions
- What is Samuel Dickerson's NPI number?
- Samuel Dickerson's National Provider Identifier (NPI) is 1902139447, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Dickerson's specialty?
- Samuel Dickerson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Samuel Dickerson located?
- Samuel Dickerson's practice location on file with NPPES is 95 W Greenwich Ave, Roosevelt, NY 11575-1035.
- What is Samuel Dickerson's phone number?
- The practice phone number listed in the NPPES registry for Samuel Dickerson is (516) 481-3421.
- Is Samuel Dickerson's NPI active?
- Yes — Samuel Dickerson's NPI (1902139447) is active in the NPPES registry as of the last update on 2009-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.