Ms. Samantha Bussanich, PA-C
Physician Assistant in Manahawkin, New Jersey
1265808018- Practice location
- 1140 Route 72 W, Manahawkin, NJ 08050-2412
- Phone
- 609-597-6011
- Fax
- —
- Last updated
- May 2, 2025
Samantha Bussanich is a Physician Assistant based in Manahawkin, NJ. Samantha Bussanich practices in Manahawkin, NJ and has the professional credentials of PA-C. The NPI Number for Samantha Bussanich is 1265808018 and holds a License No. PA031169 (DC). The current practice location address for Samantha Bussanich is 1140 Route 72 W, Manahawkin, NJ 08050-2412 and can be reached out via phone at 609-597-6011.
Provider Profile Details
- NPI Number
- 1265808018
- Provider Name
- Samantha Bussanich
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1140 Route 72 W, Manahawkin, NJ 08050-2412
- Phone Number
- 609-597-6011
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 17, 2015
- Last Update Date
- May 2, 2025
- Certification Date
- May 2, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1140 Route 72 W
Manahawkin, NJ 08050-2412 - City
- Manahawkin
- State
- New Jersey
- Zip
- 08050-2412
- Phone Number
- 609-597-6011
Provider Business Mailing Address Details
- Address
- 331 Newman Springs RD
Bldg 2, Ste 220
Red Bank, NJ 07701-5688 - City
- Red Bank
- State
- NJ
- Zip
- 07701-5688
License Information
- License Number (1)
- PA031169
- License State (1)
- DC
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 25MP00599300
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Samantha Bussanich, PA-C?
The NPI number of Ms. Samantha Bussanich, PA-C is 1265808018. It was assigned on August 17, 2015 and is currently active in the NPPES registry.
What is the specialty of Ms. Samantha Bussanich, PA-C?
Ms. Samantha Bussanich, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in DC under license number PA031169.
Where does Ms. Samantha Bussanich, PA-C practice?
The practice location is 1140 Route 72 W, Manahawkin, NJ 08050-2412. The office can be reached at 609-597-6011 (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 1265808018 directly on the NPPES registry website.