Samantha Signorile
Samantha Signorile is a Physician Assistant in Staten Island, NY, registered under NPI 1003217092. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
Here is what surrounds this office in Staten Island, based on OpenStreetMap data collected Sep 12, 2026. Parking is available about 847 ft away. The nearest transit stop is 850 ft away, served by Narrows Road North & Richmond Road. A pharmacy sits 0.25 mi from the entrance (Richmond Ph), which helps if you leave with a prescription.
Getting here and what is nearby
Transit Richmond Road & Longview Road 561 ft ~3 min
Transit Richmond Road & DeKalb Street 779 ft ~3 min
Transit Narrows Road North & Richmond Road 850 ft ~4 min
Convenience Campo Verde Food Market 871 ft ~4 min
568 Richmond Road, 10304
Gas station Mobil 869 ft ~4 min
Parking 842 ft ~4 min
Parking 845 ft ~4 min
Parking 847 ft ~4 min
Restaurant El Pollo Restaurant & Bar 922 ft ~4 min
Gas station BP 958 ft ~4 min
Convenience My Deli 0.20 mi ~5 min
Gas station Citgo 0.21 mi ~5 min
Pharmacy Richmond Ph 0.25 mi ~6 min
Convenience Toulca Deli & Grocery 0.38 mi ~8 min
Grocery Olive Tree Marketplace 0.48 mi ~10 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 017909 | NY | Surgical Physician Assistant |
| 25MP00530400 | NJ | Physician Assistant primary |
Licences are recorded in 2 states: NY, NJ. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 6901219237
- Enrollment ID
- I20220914001383
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: New Jersey and New York. The practice address on file is in Staten Island, NY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 017909
- Specialty
- Surgical Physician Assistant
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Physician Assistant covers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. NUCC Health Care Provider Taxonomy, code 363A00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363AS0400X | Surgical Physician Assistant Surgical | 017909 | NY | |
| 363A00000X | Physician Assistant | 25MP00530400 | NJ | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003217092 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 9, 2014 |
| Last updated | Feb 2, 2026 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Female |
| Practice address |
1 CAMPUS RD Staten Island, NY 10301 (718) 390-3100 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 1 | 7 | 0 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 1 | 5 | 0 | 9 |
Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.