Samantha Jo Niven, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

506 Groton Rd
Westford, MA 01886-6326

Phone

(978) 399-0061

NPI assigned

Apr 26, 2024

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 MA

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

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westford Dermatology and Cosmetic Center LLCGroup PAC ID 6305096181, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Westford Dermatology and Cosmetic Center LLC

  • Dermatology Physician
  • Westford, MA
  • NPI 1003161381
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1447006762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 GROTON RD",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018866326",
            "telephone_number": "978-399-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 GROTON RD",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018866326",
            "telephone_number": "978-399-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVEN",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Neville, MD
• New England Oral Surg. Assoc. LLC
• Newton Wellesley Hospital
• Alexandra L Nicklin, O.D.
• Josaranie Nieves Santana, DMD
• Casey Elizabeth Nolan
• Nupath Inc.
• Rachael Catherine O'Toole, LICSW
• Oak Pediatrics, LLC
• Roberta Jean Oehley, LICSW

• Physician Assistant in Westford, MA
• Providers in Westford, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.