Carla Pia V Samson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01369000 Issued in NJ

Practice address

16 Azalea LN
Cedar Grove, NJ 07009-2313

Phone

(201) 993-9922

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yogi Medical Care IncGroup PAC ID 7315282860, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Yogi Medical Care Inc

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1467738633

  Single Specialty

  Medicare reassignment Care Compare group NPD
• The Radiology Group of New Jersey, LLC

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1346962164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 AZALEA LN",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092313",
            "telephone_number": "201-993-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 AZALEA LN",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092313",
            "telephone_number": "201-993-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "CARLA",
        "middle_name": "PIA V",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01369000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Yedloutschnig, PSYD, LLC
• Michael A Russomanno, LCSW
• Ropheline Sabalberino
• Ramy Sadek
• Carole Ann Salvador, PSY.D.
• Ashley San Giacomo, LCSW
• Jenessa Sanchez
• Sandra D Picazio Ms DDS PA
• Jolynne Sannicandro
• Gabrielle Sanroman, LPC, NCC

• Family Nurse Practitioner in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.