Individual provider Active NPI

Samantha Sing Flynn

  • Gerontology Nurse Practitioner
  • Linwood, NJ
National Provider Identifier
1578085072
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00717700 Issued in NJ
Practice address
2106 New Rd Ste F2
Linwood, NJ 08221-1053
Phone
(609) 699-5750
Fax
(609) 699-5752
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00717700 NJ Primary

Addresses

Primary practice location

2106 New Rd Ste F2
Linwood, NJ 08221-1053

Mailing address

2106 New Rd Ste F2
Linwood, NJ 08221-1053
Phone (609) 699-5750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20170830002674 NJ Practitioner - Nurse Practitioner 4284907049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
100 Percent Healthcare LLCGroup PAC ID 7719407014, 6 clinicians

Practice addresses (Care Compare)

2106 New Rd
Suite F2
Linwood, NJ 08221-1053
Phone (609) 699-5750

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
100 Percent Healthcare LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

2106 New Rd
Ste F2
Linwood, NJ 08221
Phone (609) 699-5750

2106 New Rd
Ste F1
Linwood, NJ 08221
Phone (609) 699-5750

1418 New Rd
Ste 1C
Northfield, NJ 08225
Phone (609) 699-5750

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.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1578085072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE F2",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211053",
            "telephone_number": "609-699-5750",
            "fax_number": "609-699-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE F2",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211053",
            "telephone_number": "609-699-5750",
            "fax_number": "609-699-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "SAMANTHA",
        "middle_name": "SING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00717700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.