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

Dr. Samir Undavia, MD

Individual provider Otolaryngology Physician · NPI 1811130057

Dr. Samir Undavia, MD is an Otolaryngology in New York, New York. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2009, 17 years ago. Practices with Nj ENT and Facial Plastic Surgery LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
17
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
NJ
In the registry since
2009
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

200 E 72nd St Apt 24 L
New York, NY 10021-4537
Phone: (607) 206-6899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 25MA08932600 (NJ)

Record details

NPI number1811130057
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 17, 2009
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Nj Ent And Facial Plastic Surgery Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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