NPIMap

Individual provider Active NPI

Samantha Schramak, PA-C

  • Physician Assistant
  • Freehold, NJ
National Provider Identifier
1285183715
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058544 Issued in PA
Practice address
901 W Main St Ste 267
Freehold, NJ 07728-2537
Phone
(609) 921-9001
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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 MA058544 PA Primary

Addresses

Primary practice location

901 W Main St Ste 267
Freehold, NJ 07728-2537

Mailing address

901 W Main St Ste 267
Freehold, NJ 07728-2537
Phone (609) 921-9001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address s.schramak@eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161102000096 PA Practitioner - Physician Assistant 7012295652 Reassigns benefits to 3 organizations
I20211022000032 NJ Practitioner - Physician Assistant 7012295652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Valley Brain and Spine Care,LLCGroup PAC ID 6608042262, 13 clinicians

Practice addresses (Care Compare)

104 Pheasant Run
Suite 105
Newtown, PA 18940-3439
Phone (215) 741-3141

731 Alexander Rd
Suite 200
Princeton, NJ 08540-6345
Phone (609) 921-9001

901 W Main St
Suite 267
Freehold, NJ 07728-2537
Phone (609) 921-9001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA058544PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Brain & Spine, LLC CurrentSince Aug 1, 2021 Accepting new patients
Princeton Brain & Spine, LLC CurrentSince Aug 1, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 15, 2016 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 15, 2016 Accepting new patients
Good Shepherd Rehabilitation Hospital Past Accepting new patients

Locations

901 W Main St
Ste 267
Freehold, NJ 07728
Phone (732) 333-8702

731 Alexander Rd
Ste 200
Princeton, NJ 08540
Phone (609) 655-3800

1250 S Cedar Crest Blvd
Ste 400
Allentown, PA 18103
Phone (610) 402-3650

1203 Langhorne Newtown Rd
Ste 138
Langhorne, PA 19047

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

104 Pheasant Run
Ste 105
Newtown, PA 18940
Phone (215) 968-6844

Interoperability endpoints

  • Direct secure messaging: sschramak429335@direct.ahsys.org

Organizations & group practices 7

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 6

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1285183715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST STE 267",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "609-921-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST STE 267",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "609-921-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAMAK",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s.schramak@eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "901 W Main St Ste 267",
            "city": "Freehold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077282537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.