Individual provider Active NPI

Samantha Bangs

  • Physician Assistant
  • Brick, NJ
National Provider Identifier
1033773833
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00525400 Issued in NJ
Practice address
478 Brick Blvd
Brick, NJ 08723-6077
Phone
(732) 701-4848
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00525400 NJ Primary

Addresses

Primary practice location

478 Brick Blvd
Brick, NJ 08723-6077

Mailing address

121 Clouser Rd
Mechanicsburg, PA 17055-9779
Phone (717) 439-3837

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
I20190829002695 NJ Practitioner - Physician Assistant 3375871296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Shore Surgical Associates, PCGroup PAC ID 0446222533, 16 clinicians

Practice addresses (Care Compare)

478 Brick Blvd
Brick, NJ 08723-6077
Phone (732) 701-4848

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.54 of 100Reported as group
Quality
88.84
Improvement activities
40
Cost
70.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Surgical & Oncology Associates, P.C PastSince Jul 1, 2010 Accepting new patients

Organizations & group practices 2

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": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1033773833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CLOUSER RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170559779",
            "telephone_number": "717-439-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236077",
            "telephone_number": "732-701-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00525400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.