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

Mr. Samuel Onyemuwa Ani, MD

Individual provider Family Medicine Physician · NPI 1417199605

Mr. Samuel Onyemuwa Ani, MD is a Family Practice in Bay Shore, New York. Qualified in 1984, 42 years ago. Practices with Hillside Polymedic Diagnostic and Treatment Center Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Kentucky and New York.

Years since qualifying
42
Licensed in
KY, NY
In the registry since
2009
Specialties on file
4
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

301 E Main St
Bay Shore, NY 11706-8408
Phone: (631) 968-3000
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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 263286 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 42773 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 263286 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence TP480 (KY)

Record details

NPI number1417199605
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2009
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Hillside Polymedic Diagnostic And Treatment Center Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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