Samantha G Desilva
Student in an Organized Health Care Education/Training Program in Atlantic City, New Jersey
1124766316- Practice location
- 1925 Pacific Ave, Atlantic City, NJ 08401-6713
- Phone
- 609-345-4000
- Fax
- —
- Last updated
- September 3, 2024
Samantha Geethi Desilva is a Student in an Organized Health Care Education/Training Program based in Atlantic City, NJ. Samantha Geethi Desilva practices in Atlantic City, NJ. The NPI Number for Samantha Geethi Desilva is 1124766316 and holds a License No. DESI-5XODYW (NC). The current practice location address for Samantha Geethi Desilva is 1925 Pacific Ave, Atlantic City, NJ 08401-6713 and can be reached out via phone at 609-345-4000.
Provider Profile Details
- NPI Number
- 1124766316
- Provider Name
- Samantha Geethi Desilva
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1925 Pacific Ave, Atlantic City, NJ 08401-6713
- Phone Number
- 609-345-4000
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 26, 2022
- Last Update Date
- September 3, 2024
- Certification Date
- September 3, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1925 Pacific Ave
Atlantic City, NJ 08401-6713 - City
- Atlantic City
- State
- New Jersey
- Zip
- 08401-6713
- Phone Number
- 609-345-4000
Provider Business Mailing Address Details
- Address
- 1925 Pacific Ave
Atlantic City, NJ 08401-6713 - City
- Atlantic City
- State
- NJ
- Zip
- 08401-6713
License Information
- License Number (1)
- DESI-5XODYW
- License State (1)
- NC
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- P23-01055
- License State (2)
- NJ
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · 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 G Desilva?
The NPI number of Samantha G Desilva is 1124766316. It was assigned on May 26, 2022 and is currently active in the NPPES registry.
What is the specialty of Samantha G Desilva?
Samantha G Desilva is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in NC under license number DESI-5XODYW.
Where does Samantha G Desilva practice?
The practice location is 1925 Pacific Ave, Atlantic City, NJ 08401-6713. The office can be reached at 609-345-4000 (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 1124766316 directly on the NPPES registry website.