Individual provider Active NPI

Samantha Seidor

  • Obstetrics & Gynecology Physician
  • Warren, NJ
National Provider Identifier
1306336706
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA11564300 Issued in NJ
Practice address
27 Mountain Blvd Ste 6
Warren, NJ 07059-5605
Phone
(973) 978-5137
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 25MA11564300 NJ Primary

Addresses

Primary practice location

27 Mountain Blvd Ste 6
Warren, NJ 07059-5605

Mailing address

9 Mountainview LN
Warren, NJ 07059-6710
Phone (973) 978-5137

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
I20220913002835 NJ Practitioner - Obstetrics/Gynecology 2668857566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

101 Old Short Hills Rd
Suite 101
West Orange, NJ 07052-1023
Phone (973) 736-1100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Oct 10, 2022 Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology CurrentSince Oct 10, 2022 Accepting new patients

Locations

67 Walnut Ave
Ste 101
Clark, NJ 07066
Phone (732) 381-0121

25A Vreeland Rd
Ste 104
Florham Park, NJ 07932

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

33 Overlook Rd
Ste 108
Summit, NJ 07901
Phone (908) 522-6590

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

27 Mountain Blvd
Ste 6
Warren, NJ 07059
Phone (908) 222-7777

101 Old Short Hills Rd
Ste 101
West Orange, NJ 07052
Phone (973) 736-1313

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.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1306336706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOUNTAINVIEW LN",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070596710",
            "telephone_number": "973-978-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MOUNTAIN BLVD STE 6",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595605",
            "telephone_number": "973-978-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDOR",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA11564300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.