Active NPIIndividual provider

Samantha Phillip, PA-C

Physician Assistant, Surgical in Glen Ridge, New Jersey

NPI Number1538832043
Practice location
123 Highland Ave Ste 103, Glen Ridge, NJ 07028-1522
Fax
973-748-7076
Last updated
January 30, 2025

Samantha Phillip is a Physician Assistant, Surgical based in Glen Ridge, NJ. Samantha Phillip practices in Glen Ridge, NJ and has the professional credentials of PA-C. The NPI Number for Samantha Phillip is 1538832043 and holds a License No. 25MP00750600 (NJ). The current practice location address for Samantha Phillip is 123 Highland Ave Ste 103, Glen Ridge, NJ 07028-1522 and can be reached out via phone at 973-429-8800 and via fax at 973-748-7076.

Provider Profile Details

NPI Number
1538832043
Provider Name
Samantha Phillip
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
123 Highland Ave Ste 103, Glen Ridge, NJ 07028-1522
Phone Number
973-429-8800
Fax Number
973-748-7076
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2021
Last Update Date
January 30, 2025
Certification Date
January 30, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Highland Ave Ste 103
Glen Ridge, NJ 07028-1522
Zip
07028-1522
Phone Number
973-429-8800
Fax Number
973-748-7076
Glen Ridge, NJ 07028Get directions →

Provider Business Mailing Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
City
Berkeley Heights
State
NJ
Zip
07922-2104
Phone Number
908-273-4300

License Information

License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00750600
License State (2)
NJ
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · 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 Phillip, PA-C?

The NPI number of Samantha Phillip, PA-C is 1538832043. It was assigned on July 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Samantha Phillip, PA-C?

Samantha Phillip, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00750600.

Where does Samantha Phillip, PA-C practice?

The practice location is 123 Highland Ave Ste 103, Glen Ridge, NJ 07028-1522. The office can be reached at 973-429-8800 (phone) or 973-748-7076 (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 1538832043 directly on the NPPES registry website.

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