SAMANTHA NICOLE CANTOR (PA-C) – Physician Assistant, NPI 1194449579

SAMANTHA NICOLE CANTOR (PA-C) is a healthcare provider. based in Cedar knolls, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00745500 (NJ). The NPI Number for SAMANTHA NICOLE CANTOR (PA-C) is 1194449579

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA NICOLE CANTOR (PA-C)
NPI
1194449579
Phone
(973) 727-6090
Address
9 BOULEVARD RD
Enumeration Date
29 September 2022
Last Update Date
18 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
7113395906
Group Practice PAC ID
5395642276
Professional Enrollment ID
I20221129001973
Address ID
NJ079222104BE1XXXXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for SAMANTHA NICOLE CANTOR (PA-C)

  • 9 BOULEVARD RD

    CEDAR KNOLLS, NJ 079271301

    Phone: (973) 727-6090

    Type: Mailing

  • 1 DIAMOND HILL RD

    BERKELEY HEIGHTS, NJ 079222104

    Phone: (908) 273-4300

    Type: Location

  • 574 SPRINGFIELD AVE

    WESTFIELD, NJ 070901001

    Phone: (908) 232-7797

    Fax: (908) 232-0540

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $98.

Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.

Last reported payment date: 2024-01-04 • Largest payer in this snapshot: Stryker Corporation ($81).

Total Amount

$98

General + Research + Ownership

Payments

2

Total payment records

General Amount

$98

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221129001973IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07927)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395642276View full group profile

Reviews

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Frequently asked questions

What identifier follows SAMANTHA NICOLE CANTOR (PA-C) across health systems?
The NPI 1194449579 uniquely identifies SAMANTHA NICOLE CANTOR (PA-C) in U.S. healthcare data.
Does the public listing show SAMANTHA NICOLE CANTOR (PA-C) as active?
SAMANTHA NICOLE CANTOR (PA-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits SAMANTHA NICOLE CANTOR (PA-C)?
NPPES ties SAMANTHA NICOLE CANTOR (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is SAMANTHA NICOLE CANTOR (PA-C) tied to Cedar Knolls, New Jersey?
If you are local to Cedar Knolls, New Jersey, SAMANTHA NICOLE CANTOR (PA-C) may be relevant to your search.
Can I export SAMANTHA NICOLE CANTOR (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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