Individual provider Active NPI

Samantha Rose Saltarelli, FNP

  • Family Nurse Practitioner
  • Mine Hill, NJ
National Provider Identifier
1114818259
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15415600 Issued in NJ
Practice address
25 Glen Ave
Mine Hill, NJ 07803-3111
Phone
(551) 655-2396
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15415600 NJ Primary

Addresses

Primary practice location

25 Glen Ave
Mine Hill, NJ 07803-3111

Mailing address

25 Glen Ave
Mine Hill, NJ 07803-3111
Phone (551) 655-2396

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
I20251031003295 NJ Practitioner - Nurse Practitioner 2769971464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barron Emergency Physicians LLCGroup PAC ID 8820083785, 99 clinicians

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (954) 939-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15415600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barron Emergency Physicians LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Organizations & group practices 1

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": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1114818259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GLEN AVE",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033111",
            "telephone_number": "551-655-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GLEN AVE",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033111",
            "telephone_number": "551-655-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTARELLI",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15415600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mine Hill, NJ

Sources for this page

Verify at the official NPI Registry.