Shyno Samuel, - Medicare Family Medicine in Hoboken, NJ

Shyno Samuel, is a medicare enrolled "Family Medicine" physician in Hoboken, New Jersey. Her current practice location is 89 Hudson St Ste 2, Hoboken, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 565-2537.

Shyno Samuel is licensed to practice in New Jersey (license number 26NJ00817200) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376027011.

Contact Information

Shyno Samuel,
89 Hudson St Ste 2,
Hoboken, NJ 07030-5644
(201) 565-2537
Not Available

Map and Direction




Physician's Profile

Full NameShyno Samuel
GenderFemale
SpecialityFamily Medicine
Location89 Hudson St Ste 2, Hoboken, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376027011
  • Provider Enumeration Date: 09/19/2018
  • Last Update Date: 09/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5698027290
  • Enrollment ID: I20181010000077

Medical Identifiers

Medical identifiers for Shyno Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376027011NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 26NJ00817200 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shyno Samuel allows following entities to bill medicare on her behalf.
Entity NamePradip S Shah
Entity TypePractitioner - Internal Medicine
Entity IdentifiersNPI Number: 1326059320
PECOS PAC ID: 3971559220
Enrollment ID: I20050331000004

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shyno Samuel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shyno Samuel,
13-14 6th St,
Fair Lawn, NJ 07410-1119

Ph: (201) 519-7876
Shyno Samuel,
89 Hudson St Ste 2,
Hoboken, NJ 07030-5644

Ph: (201) 565-2537

Reviews and Comments


Family Medicine Doctors in Hoboken, NJ

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Dr. Julia A Ejiogu, MD
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Practice Location: 122 Clinton St, Hoboken, NJ 07030
Phone: 201-418-3126    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.