Individual provider Active NPI

Samantha Michelle Weber, MSN, RN, APN-BC

  • Adult Health Nurse Practitioner
  • Warwick, NY
National Provider Identifier
1598015687
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307483 Issued in NY
Practice address
13 Forester Ave Ste 2
Warwick, NY 10990-1176
Phone
(845) 202-3387
NPI assigned
Sep 15, 2012
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00389000 NJ
Adult Health Nurse Practitioner 363LA2200X 307483 NY Primary

Addresses

Primary practice location

13 Forester Ave Ste 2
Warwick, NY 10990-1176

Mailing address

13 Forester Ave Ste 2
Warwick, NY 10990-1176
Phone (845) 202-3387

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
I20251118002844 NJ Practitioner - Nurse Practitioner 7315240389 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16550 Valley Rd
Chagrin Falls, OH 44023-9188

2 University PLZ
Suite 204
Hackensack, NJ 07601-6227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00389000NJMDAdult Health Nurse Practitioner
307483NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ III PC CurrentSince Sep 29, 2025 Accepting new patients
Ennoble HC NJ PC CurrentSince Nov 3, 2025 Accepting new patients
Ennoble HC NJ II PC CurrentSince Sep 29, 2025 Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1598015687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 FORESTER AVE STE 2",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901176",
            "telephone_number": "845-202-3387",
            "fax_number": "332-239-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 FORESTER AVE STE 2",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901176",
            "telephone_number": "845-202-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "SAMANTHA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, APN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-15",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00389000",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

Verify at the official NPI Registry.