Individual provider Active NPI

Omnia M Samra Latif Estafan, MD

  • Obstetrics & Gynecology Physician
  • Hamilton, NJ
National Provider Identifier
1174515902
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA07687 Issued in NJ
Practice address
1255 Whitehorse Mercerville Rd Ste 507
Hamilton, NJ 08619-3800
Phone
(609) 588-0185
Fax
(609) 588-0418
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA07687 NJ Primary

Addresses

Primary practice location

1255 Whitehorse Mercerville Rd Ste 507
Hamilton, NJ 08619-3800

Mailing address

1255 Whitehorse Mercerville Rd Ste 507
Hamilton, NJ 08619-3800
Phone (609) 588-0185

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
I20050404000275 NJ Practitioner - Obstetrics/Gynecology 9133176043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

311 White Horse Ave
Suite D
Hamilton, NJ 08610-1430

311 Whitehorse Ave
Suite D
Hamilton, NJ 08610-1430
Phone (609) 588-0185

Hospital & facility affiliations

  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07687NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Womens Health and Wellness Associates CurrentSince Sep 17, 2011 Accepting new patients
Hamilton OB GYN Associates PA Obstetrics & Gynecology Past Accepting new patients

Locations

1255 Whitehorse Mercerville Rd
Ste 507
Hamilton, NJ 08619
Phone (609) 588-0185

311 Whitehorse Ave
Ste D
Trenton, NJ 08610
Phone (609) 588-0185

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 1

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1174515902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 WHITEHORSE MERCERVILLE RD STE 507",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193800",
            "telephone_number": "609-588-0185",
            "fax_number": "609-588-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 WHITEHORSE MERCERVILLE RD STE 507",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193800",
            "telephone_number": "609-588-0185",
            "fax_number": "609-588-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMRA LATIF ESTAFAN",
        "first_name": "OMNIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA07687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.