Active NPI
Samantha Seidor
- Obstetrics & Gynecology Physician
- Warren, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA11564300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Womens Health Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Regional Women'S Health Group, LLC | Obstetrics & Gynecology | Current | 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.
-
- Obstetrics & Gynecology Physician
- Voorhees, NJ
- NPI 1548215536
NJ, Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Phoenixville, PA
- NPI 1750880118
Obstetrics & Gynecology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.