Healthcare Provider Details

I. General information

NPI: 1306786488
Provider Name (Legal Business Name): SAMNARAIN PODIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 JOBSON WAY
STONY POINT NY
10980-3524
US

IV. Provider business mailing address

560 HUDSON ST FL 3
HACKENSACK NJ
07601-6655
US

V. Phone/Fax

Practice location:
  • Phone: 845-326-6073
  • Fax: 212-888-6024
Mailing address:
  • Phone: 201-641-2125
  • Fax: 212-888-6024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: GAYATRI SAMITA SAMNARAIN
Title or Position: PROVIDER
Credential: DPM
Phone: 201-641-2125