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

Individual provider Pediatrics Physician · NPI 1629479563

Jaimie Vettichira Samuel, DO is a Pediatrics Physician in Nanuet, New York. Works from 2 locations. Licensed in New York and Virginia.

Licensed in
NY, VA
In the registry since
2014
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.

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Practice location Address checks out

25 Smith St Fl 2
Nanuet, NY 10954-2912
Phone: (845) 623-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 East St Se Ste 301, Vienna, VA 22180-4800 — (703) 938-5555

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 280311 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 0102205729 (VA)

Record details

NPI number1629479563
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 10, 2014
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022

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