Individual provider Active NPI

Samantha Rose Waltimyer, NP

  • Gerontology Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1114746872
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ15141800 Issued in NJ
Practice address
99 Hwy 37 W
Toms River, NJ 08755-6423
Phone
(732) 557-8000
NPI assigned
Oct 8, 2024
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15141800 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ15141800 NJ Primary

Addresses

Primary practice location

99 Hwy 37 W
Toms River, NJ 08755-6423

Mailing address

536 Ocean Ave
Beachwood, NJ 08722-3611
Phone (732) 644-0361

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
I20250808000156 NJ Practitioner - Nurse Practitioner 3072011154 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dover Cardiology Center, LLCGroup PAC ID 0345250783, 3 clinicians

Practice addresses (Care Compare)

413 Lakehurst Rd
Suite 200
Toms River, NJ 08755-7382
Phone (732) 557-4777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15141800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dover Cardiology Center, LLC CurrentSince Jul 28, 2025 Accepting new patients

Locations

413 Lakehurst Rd
Ste 200
Toms River, NJ 08755
Phone (732) 557-4777

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/31d30d44-6840-4141-93e1-b13c2f0041c7/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1114746872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 OCEAN AVE",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087223611",
            "telephone_number": "732-644-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HWY 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556423",
            "telephone_number": "732-557-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTIMYER",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15141800",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ15141800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.