SAMANTHA ANDERSON (PA) – Physician Assistant, NPI 1477638625

SAMANTHA ANDERSON (PA) is a healthcare provider. based in Berkeley heights, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 25MP00042800 (NJ). The NPI Number for SAMANTHA ANDERSON (PA) is 1477638625

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA ANDERSON (PA)
NPI
1477638625
Phone
(908) 273-4300
Address
1 Diamond Hill Rd
Enumeration Date
26 October 2006
Last Update Date
18 February 2025

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
9739715596
Graduation Year
1998 (28 years ago)
PAC ID
7315216199
Group Practice PAC ID
5890703177
Professional Enrollment ID
I20170711000946
Address ID
NJ079606136MO100XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for SAMANTHA ANDERSON (PA)

  • 1 Diamond Hill Rd

    Summit Medical Group

    Berkeley Heights, NJ 079222104

    Phone: (908) 273-4300

    Fax: (908) 219-3071

    Type: Location

  • LB# 7550, P.O. BOX 95000

    PHILADELPHIA, PA 191957550

    Phone: (844) 362-1735

    Fax: (973) 290-7495

    Type: Mailing

  • PO BOX 416457

    BOSTON, MA 022416457

    Phone: (844) 362-1735

    Fax: (973) 290-7495

    Type: Mailing

  • 571 CENTRAL AVE STE 112

    NEW PROVIDENCE, NJ 079741547

    Phone: (908) 464-7300

    Fax: (908) 464-7350

    Type: Location

  • Walgreens, 1, Diamond Hill Road, Berkeley Heights, Union County, New Jersey, 07922, United States

    SUMMIT MEDICAL GROUP

    BERKELEY HEIGHTS, NJ 079222104

    Phone: (908) 273-4300

    Fax: (908) 219-3071

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $444.

Total Amount is formed as General ($444) + Research ($0) + Ownership ($0) = $444.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Exact Sciences Corporation ($88).

Total Amount

$444

General + Research + Ownership

Payments

26

Total payment records

General Amount

$444

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2017-07-11

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
I20170711000946IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13287$0
99213Established patient office or other outpatient visit, 20-29 minutes12697$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3939$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3737$0
90662Influenza vaccine split virus, preservative free2525$0
View full utilization report →

Insurance plans in this area (ZIP 07922)

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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: 5890703177View full group profile

Reviews

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Frequently asked questions

What is the registry number for SAMANTHA ANDERSON (PA)?
The registry entry for SAMANTHA ANDERSON (PA) shows NPI 1477638625.
Does the public listing show SAMANTHA ANDERSON (PA) as active?
SAMANTHA ANDERSON (PA)'s NPI record reflects an active status in NPPES.
What services align with SAMANTHA ANDERSON (PA)'s listing?
SAMANTHA ANDERSON (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit SAMANTHA ANDERSON (PA) in Berkeley Heights, New Jersey?
For routing, start with Berkeley Heights, New Jersey for SAMANTHA ANDERSON (PA), then verify phone and hours locally.
Can I export SAMANTHA ANDERSON (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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