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

Dr. Shawn Kunjumon Samuel, DO, MS

Individual provider Internal Medicine Physician · NPI 1649366204

Dr. Shawn Kunjumon Samuel, DO, MS is a Physical Medicine and Rehabilitation in Bronx, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2002, 24 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
24
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1825 Eastchester Rd
Bronx, NY 10461-2301
Phone: (718) 904-2400
Fax: (718) 904-2827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 239243 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 239243 (NY)

Record details

NPI number1649366204
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , MS
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESFebruary 16, 2023
Certification dateJanuary 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2002 (24 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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