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

Samuel David Fam, DO

Individual provider Family Medicine Physician · NPI 1104211986

Samuel David Fam, DO is a Family Practice in New York, New York. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2015, 11 years ago. Practices with One Medical of Ny PC, a 72-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia, Massachusetts, New York and Texas.

Years since qualifying
11
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
GA, MA, NY, TX
In the registry since
2015
Specialties on file
5
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

1790 Broadway Ste 1802
New York, NY 10019
Phone: (212) 530-0624
Fax: (212) 867-4353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2301 Erwin Rd, Durham, NC 27705-4699 — (919) 684-8111
  • 260 W Broadway Ste 2, New York, NY 10013-2260 — (212) 206-6759

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 295422 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1015332 (MA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 87745 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence V1769 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104211986
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 30, 2015
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2015 (11 years in practice)
Group practice One Medical Of Ny Pc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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