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NPI 1477957736 · live from the CMS NPI Registry

Samantha Aderholdt, PA-C

Physician Assistant in Toms River, NJ. National Provider Identifier 1477957736, active.

NPI record

NPI1477957736 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location1268 Route 37 West, Unit #1, Toms River, NJ 08755
Practice phone732-602-4480
Mailing address3 Elizabeth St, Millville, NJ 08332
EnumeratedOctober 15, 2014
Last updatedJanuary 21, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X25MP00348500 (NJ)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.