Samantha McDevitt, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00322300 Issued in NJ

Practice address

4000 Church Rd
Mount Laurel, NJ 08054-1110

Phone

(856) 222-4444

Fax

(856) 222-0049

NPI assigned

Oct 22, 2013

Last updated

Oct 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Coastal Spine PC

  • Orthopaedic Surgery of the Spine Physician
  • Mount Laurel, NJ
  • NPI 1417985094
  Medicare reassignment
• Stroke & Cerebrovascular Center of New Jersey

  • Neurological Surgery Physician
  • Hamilton, NJ
  • NPI 1831343300
  NPD (past)
• Stroke & Cerebrovascular Center of New Jersey PC

  • Neurological Surgery Physician
  • Hamilton, NJ
  • NPI 1346531530
  NPD (past)

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1245668672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541110",
            "telephone_number": "856-222-4444",
            "fax_number": "856-222-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541110",
            "telephone_number": "856-222-4444",
            "fax_number": "856-222-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDEVITT",
        "first_name": "SAMANTHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00322300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis L McCord
• Erin Lynn McCormick-Kelly, NP
• Stacy A McCrosson, M.D.
• Kristen McCullen, MD
• Joan McCusker, RBT
• Devon McDonald
• Asia McFadden
• John R McGowan, PH. D
• Claire McGrath, PHD
• Lori McGuffin

• Medical Physician Assistant in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.