Active NPIIndividual provider

Samantha Anderson, PA

Physician Assistant in New Providence, New Jersey

NPI Number1477638625
Practice location
571 Central Ave Ste 112, New Providence, NJ 07974-1547
Fax
908-464-7350
Last updated
February 18, 2025

Samantha Anderson is a Physician Assistant based in New Providence, NJ. Samantha Anderson practices in New Providence, NJ and has the professional credentials of PA. The NPI Number for Samantha Anderson is 1477638625 and holds a License No. 25MP00042800 (NJ). The current practice location address for Samantha Anderson is 571 Central Ave Ste 112, New Providence, NJ 07974-1547 and can be reached out via phone at 908-464-7300 and via fax at 908-464-7350.

Provider Profile Details

NPI Number
1477638625
Provider Name
Samantha Anderson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
571 Central Ave Ste 112, New Providence, NJ 07974-1547
Phone Number
908-464-7300
Fax Number
908-464-7350
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 26, 2006
Last Update Date
February 18, 2025
Certification Date
February 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
571 Central Ave Ste 112
New Providence, NJ 07974-1547
Zip
07974-1547
Phone Number
908-464-7300
Fax Number
908-464-7350
New Providence, NJ 07974Get directions →

Provider Business Mailing Address Details

Address
Po Box 416457
Boston, MA 02241-6457
City
Boston
State
MA
Zip
02241-6457
Phone Number
844-362-1735
Fax Number
973-290-7495

License Information

License Number
25MP00042800
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · 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 Anderson, PA?

The NPI number of Samantha Anderson, PA is 1477638625. It was assigned on October 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Samantha Anderson, PA?

Samantha Anderson, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00042800.

Where does Samantha Anderson, PA practice?

The practice location is 571 Central Ave Ste 112, New Providence, NJ 07974-1547. The office can be reached at 908-464-7300 (phone) or 908-464-7350 (fax).

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 1477638625 directly on the NPPES registry website.

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