Active NPIIndividual provider

Samantha Medeiros

Nurse Practitioner, Family in Fairfield, New Jersey

NPI Number1205786613
Practice location
21 Craig Pl, Fairfield, NJ 07004-1737
Fax
—
Last updated
February 3, 2026

Samantha Medeiros is a Nurse Practitioner, Family based in Fairfield, NJ. Samantha Medeiros practices in Fairfield, NJ. The NPI Number for Samantha Medeiros is 1205786613 and holds a License No. 26NJ15520100 (NJ). The current practice location address for Samantha Medeiros is 21 Craig Pl, Fairfield, NJ 07004-1737 and can be reached out via phone at 973-330-6217.

Provider Profile Details

NPI Number
1205786613
Provider Name
Samantha Medeiros
Provider Entity Type
Individual
Gender
Female
Address
21 Craig Pl, Fairfield, NJ 07004-1737
Phone Number
973-330-6217
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
February 3, 2026
Last Update Date
February 3, 2026
Certification Date
February 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Craig Pl
Fairfield, NJ 07004-1737
Zip
07004-1737
Phone Number
973-330-6217
Fairfield, NJ 07004Get directions →

Provider Business Mailing Address Details

Address
456 Chestnut St Ste 102
Lakewood, NJ 08701-6124
City
Lakewood
State
NJ
Zip
08701-6124

License Information

License Number
26NJ15520100
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Medeiros?

The NPI number of Samantha Medeiros is 1205786613. It was assigned on February 3, 2026 and is currently active in the NPPES registry.

What is the specialty of Samantha Medeiros?

Samantha Medeiros is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15520100.

Where does Samantha Medeiros practice?

The practice location is 21 Craig Pl, Fairfield, NJ 07004-1737. The office can be reached at 973-330-6217 (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 1205786613 directly on the NPPES registry website.

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