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

Khadija Samuel, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1104504653

Khadija Samuel, FNP-BC is a Family Nurse Practitioner in New York, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

156 William St
New York, NY 10038-2609
Phone: (646) 998-5168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 350014 (NY)

Record details

NPI number1104504653
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

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