Samantha M Shaw, ATC
Specialist/Technologist, Athletic Trainer in Jersey City, New Jersey
1558071043- Practice location
- 870 Montgomery St., Jersey City, NJ 07306
- Phone
- 714-356-8971
- Fax
- —
- Last updated
- November 25, 2022
Samantha Marie Shaw is a Specialist/Technologist, Athletic Trainer based in Jersey City, NJ. Samantha Marie Shaw practices in Jersey City, NJ and has the professional credentials of ATC. The NPI Number for Samantha Marie Shaw is 1558071043 and holds a License No. 25MT00306800 (NJ). The current practice location address for Samantha Marie Shaw is 870 Montgomery St., Jersey City, NJ 07306 and can be reached out via phone at 714-356-8971.
Provider Profile Details
- NPI Number
- 1558071043
- Provider Name
- Samantha Marie Shaw
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 870 Montgomery St., Jersey City, NJ 07306
- Phone Number
- 714-356-8971
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 25, 2022
- Last Update Date
- November 25, 2022
- Certification Date
- November 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 870 Montgomery St.
Jersey City, NJ 07306 - City
- Jersey City
- State
- New Jersey
- Zip
- 07306
- Phone Number
- 714-356-8971
Provider Business Mailing Address Details
- Address
- 870 Montgomery St.
Jersey City, NJ 07306 - City
- Jersey City
- State
- NJ
- Zip
- 07306
License Information
- License Number
- 25MT00306800
- License State
- NJ
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · 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 Samantha M Shaw, ATC?
The NPI number of Samantha M Shaw, ATC is 1558071043. It was assigned on November 25, 2022 and is currently active in the NPPES registry.
What is the specialty of Samantha M Shaw, ATC?
Samantha M Shaw, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00306800.
Where does Samantha M Shaw, ATC practice?
The practice location is 870 Montgomery St., Jersey City, NJ 07306. The office can be reached at 714-356-8971 (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 1558071043 directly on the NPPES registry website.