Individual provider Active NPI

Elizabeth E Samuels, D.O

  • Internal Medicine Physician
  • Vineland, NJ
National Provider Identifier
1487082020
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB09845300 Issued in NJ
Practice address
1505 W Sherman Ave
Vineland, NJ 08360-6912
Phone
(856) 641-8000
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB09845300 NJ Primary

Addresses

Primary practice location

1505 W Sherman Ave
Vineland, NJ 08360-6912

Mailing address

1505 W Sherman Ave
Vineland, NJ 08360-6912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, WV, MI, IL, CT, ME, OH, ID, AL, TN, IN, MD, NH, VA, DC16 enrollments
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 16

Enrollment IDStateProvider typePAC IDDetails
I20160822000360 NJ Practitioner - Internal Medicine 8820383482 Reassigns benefits to 3 organizations
I20200413001233 PA Practitioner - Internal Medicine 8820383482 Reassigns benefits to 1 organization
I20200418000456 WV Practitioner - Internal Medicine 8820383482 Reassigns benefits to 2 organizations
I20200420002157 MI Practitioner - Internal Medicine 8820383482 Reassigns benefits to 1 organization
I20200501001385 IL Practitioner - Internal Medicine 8820383482 Reassigns benefits to 1 organization
I20200506001499 CT Practitioner - Internal Medicine 8820383482 Reassigns benefits to 1 organization
I20200510000105 ME Practitioner - Internal Medicine 8820383482 Reassigns benefits to 1 organization
I20200612001961 OH Practitioner - Internal Medicine 8820383482 Reassigns benefits to 1 organization
I20200615000642 ID Practitioner - Internal Medicine 8820383482 Reassigns benefits to 1 organization
I20200708003445 AL Practitioner - Internal Medicine 8820383482
I20200710002911 TN Practitioner - Internal Medicine 8820383482 Reassigns benefits to 1 organization
I20200723001311 IN Practitioner - Internal Medicine 8820383482 Reassigns benefits to 1 organization
I20200730000065 MD Practitioner - Internal Medicine 8820383482 Reassigns benefits to 1 organization
I20200903001627 NH Practitioner - Internal Medicine 8820383482 Reassigns benefits to 1 organization
I20201026002910 VA Practitioner - Internal Medicine 8820383482 Reassigns benefits to 1 organization
I20201119001736 DC Practitioner - Internal Medicine 8820383482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians
In Post Acute Specialists PCGroup PAC ID 8325379522, 29 clinicians
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

100 9TH St
McKeesport, PA 15132-3952
Phone (412) 675-8600

109 Forest Valley Dr
Forest Hill, MD 21050-2831
Phone (410) 838-0101

1667 Sheridan Rd
Noblesville, IN 46062-8723
Phone (317) 773-9205

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 441-8146

1925 Reeves Rd
Plainfield, IN 46168-5501
Phone (317) 838-7070

200 Pleasant St
Concord, NH 03301-2505
Phone (603) 724-6100

239 Pleasant St
Concord, NH 03301-7504
Phone (603) 224-6561

29449 Charlotte Hall Rd
Charlotte Hall, MD 20622-3042
Phone (301) 884-8171

300 Saint Luke Cir
Westminster, MD 21158-4174
Phone (410) 848-0090

3100 Shore Dr
Virginia Beach, VA 23451-1199
Phone (757) 496-1100

320 Colony St
Meriden, CT 06451-2053
Phone (203) 235-5716

326 Country Club Dr
New Albany, IN 47150-4618
Phone (812) 948-1311

559 W Longest St
Paoli, IN 47454-9670
Phone (812) 723-2595

59 Harrington CT
Colchester, CT 06415-1207
Phone (860) 537-2339

800 W Oakton St
Arlington Heights, IL 60004-4602
Phone (947) 368-7315

900 3Rd Ave
Beaver Falls, PA 15010-4613
Phone (724) 846-8504

Hospital & facility affiliations

  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • Mozaic Senior Life Nursing home, Bridgeport, CT, CCN 075353
  • Miller'S Merry Manor Nursing home, Logansport, IN, CCN 155235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
In Post Acute Specialists, PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Mi Post Acute Specialists PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Sep 18, 2016 Accepting new patients
Atlanticare Physician Group CurrentSince Sep 18, 2016 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Post Acute Specialists New Jersey, P.C. Internal Medicine CurrentSince Apr 21, 2024 Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients

Locations

9980 Georgia St
Crown Point, IN 46307

4915 Charlestown Rd
New Albany, IN 47150
Phone (812) 945-5221

326 Country Club Dr
New Albany, IN 47150
Phone (812) 948-1131

10820 Park Pl
Saint John, IN 46373
Phone (219) 351-5200

55378 Wilbur Rd
Three Rivers, MI 49093
Phone (269) 279-7441

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

480 Parkway Dr E
East Orange, NJ 07017
Phone (973) 674-2700

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

485 River Ave
Lakewood, NJ 08701
Phone (732) 349-0988

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

290 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-2800

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

3001 E Evesham Rd
Voorhees, NJ 08043
Phone (856) 751-1600

9825 S Jordan Gtwy
Sandy, UT 84070

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1487082020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606912",
            "telephone_number": "856-641-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "ELIZABETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB09845300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.