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

Samantha Haas

Individual provider Surgical Physician Assistant · NPI 1326606955

Samantha Haas is a Physician Assistant in Bronx, New York. Qualified in 2019, 7 years ago. Practices with Kings Physician Services PC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019

Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-9492
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 506 6th St, Brooklyn, NY 11215-3609 — (347) 442-6197

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 023790-01 (NY)

Record details

NPI number1326606955
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2019
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kings Physician Services Pc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bronx