Samantha N Fanok, PA-C
Physician Assistant, Surgical in Manasquan, New Jersey
1962040105- Practice location
- 2315 Route 34 S, Manasquan, NJ 08736-1444
- Phone
- 732-974-0404
- Fax
- 732-449-4271
- Last updated
- December 9, 2024
Samantha N Fanok is a Physician Assistant, Surgical based in Manasquan, NJ. Samantha N Fanok practices in Manasquan, NJ and has the professional credentials of PA-C. The NPI Number for Samantha N Fanok is 1962040105 and holds a License No. 25MP00788600 (NJ). The current practice location address for Samantha N Fanok is 2315 Route 34 S, Manasquan, NJ 08736-1444 and can be reached out via phone at 732-974-0404 and via fax at 732-449-4271.
Provider Profile Details
- NPI Number
- 1962040105
- Provider Name
- Samantha N Fanok
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2315 Route 34 S, Manasquan, NJ 08736-1444
- Phone Number
- 732-974-0404
- Fax Number
- 732-449-4271
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 18, 2019
- Last Update Date
- December 9, 2024
- Certification Date
- December 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2315 Route 34 S
Manasquan, NJ 08736-1444 - City
- Manasquan
- State
- New Jersey
- Zip
- 08736-1444
- Phone Number
- 732-974-0404
- Fax Number
- 732-449-4271
Provider Business Mailing Address Details
- Address
- 2315 Route 34 S
Manasquan, NJ 08736-1444 - City
- Manasquan
- State
- NJ
- Zip
- 08736-1444
- Phone Number
- 732-974-0404
- Fax Number
- 732-449-4271
License Information
- License Number (1)
- 25MP00788600
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00788600
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Manasquan, NJ
View all Physician Assistant, Surgical providers in Manasquan →- Amy E Farmer, PAPhysician Assistant, Surgical · NPI 1124007687
- Deonde R Degennaro, PA-CPhysician Assistant, Surgical · NPI 1437911526
- Gregory C Switaj, PA-CPhysician Assistant, Surgical · NPI 1134385412
- Kayce Commesso, PA-CPhysician Assistant, Surgical · NPI 1427575265
- Megan E Leffler, PA-CPhysician Assistant, Surgical · NPI 1043038722
- Mrs. Cynthia A Migliorisi, PA-CPhysician Assistant, Surgical · NPI 1902961683
Frequently Asked Questions
What is the NPI number of Samantha N Fanok, PA-C?
The NPI number of Samantha N Fanok, PA-C is 1962040105. It was assigned on December 18, 2019 and is currently active in the NPPES registry.
What is the specialty of Samantha N Fanok, PA-C?
Samantha N Fanok, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00788600.
Where does Samantha N Fanok, PA-C practice?
The practice location is 2315 Route 34 S, Manasquan, NJ 08736-1444. The office can be reached at 732-974-0404 (phone) or 732-449-4271 (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 1962040105 directly on the NPPES registry website.