Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dmitry V Samsonov, MD

Individual provider Pediatric Nephrology Physician · NPI 1356595862

Dmitry V Samsonov, MD is a Nephrology in Hawthorne, New York. Qualified in 1989, 37 years ago. Practices with Boston Children's Health Physicians LLP, a 82-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
37
Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19 Bradhurst Ave Ste 1400
Hawthorne, NY 10532-2140
Phone: (914) 493-7583
Fax: (914) 594-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence 269800 (NY)
Pediatric Nephrology Physician Taxonomy 2080P0210X · Licence 003556 (NY)

Record details

NPI number1356595862
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 11, 2008
Last updated in NPPESJuly 23, 2013
Mailing addressPo Box 1020, Hawthorne, NY 10532-7507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Boston Children'S Health Physicians Llp — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hawthorne