Individual provider Active NPI

Samantha Signorile

  • Physician Assistant
  • Staten Island, NY
National Provider Identifier
1003217092
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00530400 Issued in NJ
Practice address
1 Campus Rd
Staten Island, NY 10301-4479
Phone
(718) 390-3100
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 017909 NY
Physician Assistant 363A00000X 25MP00530400 NJ Primary

Addresses

Primary practice location

1 Campus Rd
Staten Island, NY 10301-4479

Mailing address

1 Campus Rd
Staten Island, NY 10301-4479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914001383 NJ Practitioner - Physician Assistant 6901219237 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Sep 8, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Sep 8, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Sep 8, 2025 Accepting new patients
Sigmund L. Sattenspiel, M.D., P.a. Past Accepting new patients
Northeast Surgery Associates LLC PastSince Mar 30, 2021 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

229 Bath Ave
Long Branch, NJ 07740
Phone (732) 229-4300

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

4 Plaza Dr
Toms River, NJ 08757
Phone (732) 240-0900

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090

99 Highway 37 W
Fl 5
Toms River, NJ 08755
Phone (732) 477-8988

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

100 State Route 36
Ste 2F
West Long Branch, NJ 07764

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJEBAA/Endpoint/JJEBAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFIFAA/Endpoint/IFIFAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1003217092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CAMPUS RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAMPUS RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014479",
            "telephone_number": "718-390-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGNORILE",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "017909",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00530400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.