MEDICARE: GAYATRI S SAMNARAIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist

General Provider Information

NPI Number	:	1972454569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GAYATRI S SAMNARAIN

Provider Business Mailing Address
First Line	:	560 HUDSON ST STE 301
Second Line	:
City	:	HACKENSACK
State	:	NJ
Zip	:	07601-6655
Country	:	US
Telephone Number	:	201-641-2125
Fax Number	:	212-888-6024

Provider Business Practice Location Address
First Line	:	10 JOBSON WAY
Second Line	:
City	:	STONY POINT
State	:	NY
Zip	:	10980-3524
Country	:	US
Telephone Number	:	845-326-6073
Fax Number	:	212-888-6024

Authorized Official
Title or Position	:	PROVIDER
Name	:	GAYATRI SAMITA SAMNARAIN
Credential	:	DPM
Telephone Number	:	845-326-6073

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “GAYATRI S SAMNARAIN ” Practice Location

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