Samantha R Goman, PA-C
Physician Assistant in Montclair, New Jersey
1831758598- Practice location
- 1 Bay Ave Ste 1, Montclair, NJ 07042-4837
- Phone
- 201-490-4333
- Fax
- 201-490-4334
- Last updated
- June 6, 2019
Samantha Rae Goman is a Physician Assistant based in Montclair, NJ. Samantha Rae Goman practices in Montclair, NJ and has the professional credentials of PA-C. The NPI Number for Samantha Rae Goman is 1831758598. The current practice location address for Samantha Rae Goman is 1 Bay Ave Ste 1, Montclair, NJ 07042-4837 and can be reached out via phone at 201-490-4333 and via fax at 201-490-4334.
Provider Profile Details
- NPI Number
- 1831758598
- Provider Name
- Samantha Rae Goman
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Bay Ave Ste 1, Montclair, NJ 07042-4837
- Phone Number
- 201-490-4333
- Fax Number
- 201-490-4334
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 6, 2019
- Last Update Date
- June 6, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Bay Ave Ste 1
Montclair, NJ 07042-4837 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-4837
- Phone Number
- 201-490-4333
- Fax Number
- 201-490-4334
Provider Business Mailing Address Details
- Address
- 5 Manor Dr Apt 9M
Newark, NJ 07106-3288 - City
- Newark
- State
- NJ
- Zip
- 07106-3288
License Information
- Taxonomy
- Physician Assistant · 363A00000X · 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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- Brandon McdonaldPhysician Assistant · NPI 1902755788
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Frequently Asked Questions
What is the NPI number of Samantha R Goman, PA-C?
The NPI number of Samantha R Goman, PA-C is 1831758598. It was assigned on June 6, 2019 and is currently active in the NPPES registry.
What is the specialty of Samantha R Goman, PA-C?
Samantha R Goman, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Samantha R Goman, PA-C practice?
The practice location is 1 Bay Ave Ste 1, Montclair, NJ 07042-4837. The office can be reached at 201-490-4333 (phone) or 201-490-4334 (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 1831758598 directly on the NPPES registry website.