Samantha Bross

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09184400 Issued in NJ

Practice address

307 Bloomfield Ave Ste 102
Caldwell, NJ 07006-5165

Phone

(862) 621-9390

NPI assigned

Jun 14, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1386374106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MC NISH WAY",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070063801",
            "telephone_number": "973-525-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BLOOMFIELD AVE STE 102",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065165",
            "telephone_number": "862-621-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09184400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Borough of Caldwell
• Geoffrey Edward Bossio, D.C.
• Jessica Bracamonte, PA-C
• Lakeitha Tradell Branch, LAC
• Richard J Brewster, PSY.D.
• Chelece-Atavia Brown
• Molly Brown
• Lisa Bruno, OTD, OTR
• Isabel Budd
• Bwell Nutrition NJ

• Occupational Therapy Assistant in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.