Samantha M Mccormack, APN
Nurse Practitioner, Family in Montclair, New Jersey
1053188391- Practice location
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone
- 973-429-6096
- Fax
- —
- Last updated
- October 15, 2024
Samantha Marie Mccormack is a Nurse Practitioner, Family based in Montclair, NJ. Samantha Marie Mccormack practices in Montclair, NJ and has the professional credentials of APN. The NPI Number for Samantha Marie Mccormack is 1053188391 and holds a License No. 26NJ14955300 (NJ). The current practice location address for Samantha Marie Mccormack is 1 Bay Ave, Montclair, NJ 07042-4837 and can be reached out via phone at 973-429-6096.
Provider Profile Details
- NPI Number
- 1053188391
- Provider Name
- Samantha Marie Mccormack
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone Number
- 973-429-6096
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 6, 2023
- Last Update Date
- October 15, 2024
- Certification Date
- October 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Bay Ave
Montclair, NJ 07042-4837 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-4837
- Phone Number
- 973-429-6096
Provider Business Mailing Address Details
- Address
- 168 Coeyman Ave
Nutley, NJ 07110-1503 - City
- Nutley
- State
- NJ
- Zip
- 07110-1503
- Phone Number
- 973-930-8655
License Information
- License Number
- 26NJ14955300
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Samantha M Mccormack, APN?
The NPI number of Samantha M Mccormack, APN is 1053188391. It was assigned on December 6, 2023 and is currently active in the NPPES registry.
What is the specialty of Samantha M Mccormack, APN?
Samantha M Mccormack, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ14955300.
Where does Samantha M Mccormack, APN practice?
The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The office can be reached at 973-429-6096 (phone).
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 1053188391 directly on the NPPES registry website.