SAMANTHA CIACCIA (PA-C) – Physician Assistant, NPI 1457789174

SAMANTHA CIACCIA (PA-C) is a healthcare provider. based in Bronx, New York. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 017105 (NY). The NPI Number for SAMANTHA CIACCIA (PA-C) is 1457789174

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA CIACCIA (PA-C)
NPI
1457789174
Phone
Not provided
Address
111 E 210TH ST
Enumeration Date
15 October 2013
Last Update Date
15 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008432384
Graduation Year
2013 (13 years ago)
PAC ID
9032346705
Group Practice PAC ID
0547505976
Professional Enrollment ID
I20161221001513
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for SAMANTHA CIACCIA (PA-C)

  • 111 E 210TH ST

    BRONX, NY 104672401

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 10467)

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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: 0547505976View full group profile

Reviews

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Frequently asked questions

Does SAMANTHA CIACCIA (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SAMANTHA CIACCIA (PA-C) uses 1457789174.
Is SAMANTHA CIACCIA (PA-C) still practicing?
SAMANTHA CIACCIA (PA-C) is currently listed as active in the public NPI registry.
What is SAMANTHA CIACCIA (PA-C)'s primary classification?
Physician Assistant is the headline specialty for SAMANTHA CIACCIA (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for SAMANTHA CIACCIA (PA-C)?
SAMANTHA CIACCIA (PA-C)'s geographic hint is Bronx, New York in our summary view.
Is the information about SAMANTHA CIACCIA (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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