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

Jason M Sample, MD

Individual provider Surgery Physician · NPI 1912968298

Jason M Sample, MD is a General Surgery in Flushing, New York. Graduated from Johns Hopkins University School of Medicine in 1997, 29 years ago. Practices with New York Queens Medicine and Surgery, PC, a 401-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Trained at
Johns Hopkins University School of Medicine
Licensed in
NY
In the registry since
2006
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

56-45 Main Street W-LL300
Flushing, NY 11355-5045
Phone: (718) 445-0220
Fax: (718) 939-1167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 215514 (NY)

Record details

NPI number1912968298
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address56-45 Main Street, W-Ll300, Flushing, NY 11355-5045

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice New York Queens Medicine And Surgery, P.C. — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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