Samantha L Costanzo, PA-C
Physician Assistant in Wall Township, New Jersey
1053152298- Practice location
- 4810 Belmar Blvd, Wall Township, NJ 07753-6952
- Phone
- 732-938-6090
- Fax
- 732-938-5680
- Last updated
- August 26, 2024
Samantha Leigh Costanzo is a Physician Assistant based in Wall Township, NJ. Samantha Leigh Costanzo practices in Wall Township, NJ and has the professional credentials of PA-C. The NPI Number for Samantha Leigh Costanzo is 1053152298 and holds a License No. 25MP00855900 (NJ). The current practice location address for Samantha Leigh Costanzo is 4810 Belmar Blvd, Wall Township, NJ 07753-6952 and can be reached out via phone at 732-938-6090 and via fax at 732-938-5680.
Provider Profile Details
- NPI Number
- 1053152298
- Provider Name
- Samantha Leigh Costanzo
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4810 Belmar Blvd, Wall Township, NJ 07753-6952
- Phone Number
- 732-938-6090
- Fax Number
- 732-938-5680
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 3, 2024
- Last Update Date
- August 26, 2024
- Certification Date
- August 26, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4810 Belmar Blvd
Wall Township, NJ 07753-6952 - City
- Wall Township
- State
- New Jersey
- Zip
- 07753-6952
- Phone Number
- 732-938-6090
- Fax Number
- 732-938-5680
Provider Business Mailing Address Details
- Address
- 4810 Belmar Blvd
Wall Township, NJ 07753-6952 - City
- Wall Township
- State
- NJ
- Zip
- 07753-6952
- Phone Number
- 732-938-6090
- Fax Number
- 732-938-5680
License Information
- License Number
- 25MP00855900
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Wall Township, NJ
View all Physician Assistants in Wall Township →- Barbara A Calavetta, PA-CPhysician Assistant · NPI 1760674667
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- Cheryl E Caudill, PA-CPhysician Assistant · NPI 1164725743
- Christine Lang, PAPhysician Assistant · NPI 1649214883
- Delaney M Duncan, PAPhysician Assistant · NPI 1215728118
- Marcia Moloney, PAPhysician Assistant · NPI 1154422996
Frequently Asked Questions
What is the NPI number of Samantha L Costanzo, PA-C?
The NPI number of Samantha L Costanzo, PA-C is 1053152298. It was assigned on June 3, 2024 and is currently active in the NPPES registry.
What is the specialty of Samantha L Costanzo, PA-C?
Samantha L Costanzo, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00855900.
Where does Samantha L Costanzo, PA-C practice?
The practice location is 4810 Belmar Blvd, Wall Township, NJ 07753-6952. The office can be reached at 732-938-6090 (phone) or 732-938-5680 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053152298 directly on the NPPES registry website.