NPI 1477638625 · live from the CMS NPI Registry
Samantha Anderson, PA
Physician Assistant in New Providence, NJ. National Provider Identifier 1477638625, active.
NPI record
| NPI | 1477638625 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 571 Central Ave Ste 112, New Providence, NJ 07974 |
| Practice phone | 908-464-7300 |
| Mailing address | Po Box 416457, Boston, MA 02241 |
| Enumerated | October 26, 2006 |
| Last updated | February 18, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 25MP00042800 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.