Samantha R Pankiw, RD
Dietitian, Registered in Cedar Grove, New Jersey
1821725565- Practice location
- 12 Daniel Dr, Cedar Grove, NJ 07009-1527
- Phone
- 551-689-8359
- Fax
- —
- Last updated
- August 3, 2022
Samantha Rose Pankiw is a Dietitian, Registered based in Cedar Grove, NJ. Samantha Rose Pankiw practices in Cedar Grove, NJ and has the professional credentials of RD. The NPI Number for Samantha Rose Pankiw is 1821725565 and holds a License No. 86052714 (NJ). The current practice location address for Samantha Rose Pankiw is 12 Daniel Dr, Cedar Grove, NJ 07009-1527 and can be reached out via phone at 551-689-8359.
Provider Profile Details
- NPI Number
- 1821725565
- Provider Name
- Samantha Rose Pankiw
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12 Daniel Dr, Cedar Grove, NJ 07009-1527
- Phone Number
- 551-689-8359
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 3, 2022
- Last Update Date
- August 3, 2022
- Certification Date
- August 3, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Daniel Dr
Cedar Grove, NJ 07009-1527 - City
- Cedar Grove
- State
- New Jersey
- Zip
- 07009-1527
- Phone Number
- 551-689-8359
Provider Business Mailing Address Details
- Address
- 12 Daniel Dr
Cedar Grove, NJ 07009-1527 - City
- Cedar Grove
- State
- NJ
- Zip
- 07009-1527
- Phone Number
- 551-689-8359
License Information
- License Number
- 86052714
- License State
- NJ
- Taxonomy
- Dietitian, Registered · 133V00000X · 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 R Pankiw, RD?
The NPI number of Samantha R Pankiw, RD is 1821725565. It was assigned on August 3, 2022 and is currently active in the NPPES registry.
What is the specialty of Samantha R Pankiw, RD?
Samantha R Pankiw, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 86052714.
Where does Samantha R Pankiw, RD practice?
The practice location is 12 Daniel Dr, Cedar Grove, NJ 07009-1527. The office can be reached at 551-689-8359 (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 1821725565 directly on the NPPES registry website.