Active NPIIndividual provider

Miss Samantha Disantis, APN

Nurse Practitioner, Family in Mullica Hill, New Jersey

NPI Number1629448493
Practice location
141 Bridgeton Pike Unit B, Mullica Hill, NJ 08062-2615
Fax
856-291-8610
Last updated
November 13, 2024

Samantha Disantis is a Nurse Practitioner, Family based in Mullica Hill, NJ. Samantha Disantis practices in Mullica Hill, NJ and has the professional credentials of APN. The NPI Number for Samantha Disantis is 1629448493 and holds a License No. 26NR1252700 (NJ). The current practice location address for Samantha Disantis is 141 Bridgeton Pike Unit B, Mullica Hill, NJ 08062-2615 and can be reached out via phone at 856-291-8600 and via fax at 856-291-8610.

Provider Profile Details

NPI Number
1629448493
Provider Name
Samantha Disantis
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
141 Bridgeton Pike Unit B, Mullica Hill, NJ 08062-2615
Phone Number
856-291-8600
Fax Number
856-291-8610
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 5, 2015
Last Update Date
November 13, 2024
Certification Date
November 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
141 Bridgeton Pike Unit B
Mullica Hill, NJ 08062-2615
Zip
08062-2615
Phone Number
856-291-8600
Fax Number
856-291-8610
Mullica Hill, NJ 08062Get directions →

Provider Business Mailing Address Details

Address
Po Box 7776
Lancaster, PA 17601
City
Lancaster
State
PA
Zip
17601
Phone Number
888-985-2727
Fax Number
856-779-0211

License Information

License Number (1)
26NR1252700
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ00595500
License State (2)
NJ
Taxonomy (2)
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 Miss Samantha Disantis, APN?

The NPI number of Miss Samantha Disantis, APN is 1629448493. It was assigned on October 5, 2015 and is currently active in the NPPES registry.

What is the specialty of Miss Samantha Disantis, APN?

Miss Samantha Disantis, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NR1252700.

Where does Miss Samantha Disantis, APN practice?

The practice location is 141 Bridgeton Pike Unit B, Mullica Hill, NJ 08062-2615. The office can be reached at 856-291-8600 (phone) or 856-291-8610 (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 1629448493 directly on the NPPES registry website.

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