Samirah Bostic, MSN, PMHNP-BC
Individual provider Active NPI Psychiatry Physician · Iselin, NJ
NPI 1497427009 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1497427009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 26NJ01188300 (NJ)
- Practice address
- 485C US Highway 1 S Ste 100
Iselin, NJ 08830-3016 - Phone
- (732) 844-3424
- Fax
- (732) 621-8342
- NPI assigned
- Oct 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
485C US Hwy 1 S
Suite 100
Iselin, NJ 08830-3016
Phone (732) 844-3424
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220218001152 | NJ | Practitioner - Nurse Practitioner | 9032503966 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F406926 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growth Outpatient Mental Health Services LLC | Current |
Accepting new patients |
Locations
485C US Highway 1 S
Ste 100
Iselin, NJ 08830
Phone (732) 290-4104
112 W 34th St
Ste 1800
New York, NY 10120
Phone (732) 844-3424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | F406926 | NY | |
| Psychiatry Physician | 2084P0800X | 26NJ01188300 | NJ | Yes |
Addresses
Primary practice location
485C US Highway 1 S Ste 100
Iselin, NJ 08830-3016
Mailing address
PO Box 392
Avenel, NJ 07001-0392
Phone (732) 844-3424
Other practice location 1
112 W 34th St Ste 1800
New York, NY 10120-0101
Phone (732) 844-3424
Other providers in Iselin, NJ
- Shikha Bhasin
- Vibhay Bhatnagar
- Tarun Biswas
- Alyssa Blumberg
- Bos Consulting LLC
- Erin Bracken
- Bratcher Beauty Inc.
- Shalena N Bratcher
- Brett Dinovi and Associates
- Alison Brown
All providers in Iselin, NJ · Psychiatry Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.