Active NPI
Arun K. Samanta, M.D.
- Gastroenterology Physician
- Newark, NJ
National Provider Identifier
1356436646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA03278600
- Practice address
- 90 Bergen St
Doc 2100
Newark, NJ 07103-2425 - Phone
- (973) 972-2343
- Fax
- (973) 972-0752
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA03278600 | NJ | Primary |
Addresses
Primary practice location
90 Bergen St
Doc 2100
Newark, NJ 07103-2425
Mailing address
30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018900 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Renal and Hypertension Consultants, LLC | Current | Accepting new patients |
Locations
390 New York Ave
Newark, NJ 07105
Phone (973) 344-3518
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFABBA
Organizations & group practices 1
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.
-
- Nephrology Physician
- Newark, NJ
- NPI 1568793503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247616000000",
"number": "1356436646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BERGEN ST",
"address_2": "ADMC 12 1205",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071073000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 BERGEN ST",
"address_2": "DOC 2100",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032425",
"telephone_number": "973-972-2343",
"fax_number": "973-972-0752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMANTA",
"first_name": "ARUN",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2009-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA03278600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2018900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.