Samantha Bornhardt
Physician Assistant in Deptford, New Jersey
1134869969- Practice location
- 1410 Delsea Dr, Deptford, NJ 08096-4101
- Phone
- 856-579-8897
- Fax
- —
- Last updated
- November 4, 2022
Samantha Bornhardt is a Physician Assistant based in Deptford, NJ. Samantha Bornhardt practices in Deptford, NJ. The NPI Number for Samantha Bornhardt is 1134869969 and holds a License No. 25MP00728900 (NJ). The current practice location address for Samantha Bornhardt is 1410 Delsea Dr, Deptford, NJ 08096-4101 and can be reached out via phone at 856-579-8897.
Provider Profile Details
- NPI Number
- 1134869969
- Provider Name
- Samantha Bornhardt
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1410 Delsea Dr, Deptford, NJ 08096-4101
- Phone Number
- 856-579-8897
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 30, 2022
- Last Update Date
- November 4, 2022
- Certification Date
- November 4, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1410 Delsea Dr
Deptford, NJ 08096-4101 - City
- Deptford
- State
- New Jersey
- Zip
- 08096-4101
- Phone Number
- 856-579-8897
Provider Business Mailing Address Details
- Address
- 1410 Delsea Dr
Deptford, NJ 08096-4101 - City
- Deptford
- State
- NJ
- Zip
- 08096-4101
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MP00728900
- License State (2)
- NJ
- Taxonomy (2)
- 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 Deptford, NJ
View all Physician Assistants in Deptford →Frequently Asked Questions
What is the NPI number of Samantha Bornhardt?
The NPI number of Samantha Bornhardt is 1134869969. It was assigned on March 30, 2022 and is currently active in the NPPES registry.
What is the specialty of Samantha Bornhardt?
Samantha Bornhardt is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00728900.
Where does Samantha Bornhardt practice?
The practice location is 1410 Delsea Dr, Deptford, NJ 08096-4101. The office can be reached at 856-579-8897 (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 1134869969 directly on the NPPES registry website.