Samantha Sabban, DO

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

25MB12274300 Issued in NJ

Practice address

1144 E Ridgewood Ave FL 2
Ridgewood, NJ 07450-3941

Phone

(201) 336-0188

NPI assigned

Mar 21, 2019

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Lake Erie Col of Osteo Med at Seton Hill Univ, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Pain, Spine, and Sports Institute LLCGroup PAC ID 9638403538, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Hospital Hospital, Paramus, NJ, CCN 310012
• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
• Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• The Pain, Spine and Sports Institute LLC

  • Interventional Pain Medicine Physician
  • Ridgewood, NJ
  • NPI 1922563121
  Medicare reassignment Care Compare group NPD
• Complete Vein & Vascular LLC

  • Interventional Pain Medicine Physician
  • Ridgewood, NJ
  • NPI 1629838263
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation
• Kessler Institute for Rehabilitation Inc

  • Rehabilitation Hospital
  • West Orange, NJ
  • NPI 1013919620

  Inpatient rehabilitation facility

  Care Compare affiliation
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1346700762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 E RIDGEWOOD AVE FL 2",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 E RIDGEWOOD AVE FL 2",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503941",
            "telephone_number": "201-336-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBAN",
        "first_name": "SAMANTHA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MB12274300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floriana Rudner, RPA-C
• Andrea Sherry Rudolph, LCSW
• Jonathan Sloan Ruhl
• Mirna Joann Ruiz-Vazquez, LCSW, CASAC
• Kelly Rumler, APN-C
• Dorothy Winifred Sack-Johnson
• Komal Saggu, NP-C
• Faith Anne Sahagian
• Celine-Ann Teh-Ching Samaniego, APN
• Kimberly Samra, LAC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.