Doctor profile · Federal record
Dr. Manju Sam
Adult Health Nurse Practitioner · Stony Brook, NY
- NPI 1265067466
- MIPS 91.4 / 100 · 2023
- 6 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
101 Nicolls RD
Stony Brook, NY 117941923
(631) 632-6868 - Mailing address
-
4 Berwyn Dr
Lake Ronkonkoma, NY 117791923
Credentials & registration
- NPI registered
- March 2020 — 6 yrs on file
- Profile last updated
- November 23, 2021
- Specialty taxonomy
- 363LA2200X — NUCC code
- State license (1)
- New York #F309300-01
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265067466. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$30
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inspire Medical Systems, INC. | 1 | $15.80 | |
| Idorsia Pharmaceuticals US INC | 1 | $14.54 |
By nature of payment
Frequently asked questions
What is Dr. Manju Sam's medical specialty?
Dr. Manju Sam practices Adult Health Nurse Practitioner in Stony Brook, NY.
Where does Dr. Manju Sam practice?
Dr. Manju Sam practices at 101 Nicolls RD, Stony Brook, NY 117941923. Office phone: 6316326868.
What is Dr. Manju Sam's NPI?
Dr. Manju Sam's National Provider Identifier (NPI) is 1265067466, issued by NPPES.