Individual provider Active NPI

Said A Samra, MD

  • Specialist
  • Holmdel, NJ
National Provider Identifier
1023080140
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
733 N Beers St
Suite U1
Holmdel, NJ 07733-1528
Phone
(732) 739-2100
Fax
(732) 739-1002
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

733 N Beers St
Suite U1
Holmdel, NJ 07733-1528

Mailing address

733 N Beers St
Suite U1
Holmdel, NJ 07733-1528
Phone (732) 739-2100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050708000078 NJ Practitioner - Plastic and Reconstructive Surgery 6204733249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samra Plastic and Reconstructive Surgery LLCGroup PAC ID 3274545330, 9 clinicians

Practice addresses (Care Compare)

300 Perrine Rd
Suite 333
Old Bridge, NJ 08857-3627

733 N Beers St
Suite U1
Holmdel, NJ 07733-1513
Phone (732) 739-2100

Hospital & facility affiliations

  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29
Removal or shaving of skin growth1-10
Skin biopsy15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Samra Plastic and Reconstructive Surgery LLC Specialist CurrentSince Feb 25, 2006 Accepting new patients
Ea Health - New Jersey LLC CurrentSince Apr 29, 2024 Accepting new patients
Ambulatory Surgery Center at Old Bridge LLC Current Accepting new patients

Locations

733 N Beers St
Ste U1
Holmdel, NJ 07733
Phone (732) 739-2100

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

300 Perrine Rd
Ste 333
Old Bridge, NJ 08857
Phone (732) 289-9335

200 Perrine Rd
Ste 228
Old Bridge, NJ 08857
Phone (708) 727-8800

300 Perrine Rd
Ste 331333
Old Bridge, NJ 08857

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIECDA/Endpoint/DIECDA
  • Direct secure messaging: said.samra@samra.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1023080140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N BEERS ST",
            "address_2": "SUITE U1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331528",
            "telephone_number": "732-739-2100",
            "fax_number": "732-739-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N BEERS ST",
            "address_2": "SUITE U1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331528",
            "telephone_number": "732-739-2100",
            "fax_number": "732-739-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMRA",
        "first_name": "SAID",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.