Individual provider Active NPI

Samantha Mull, PA-C

  • Physician Assistant
  • Phillipsburg, NJ
National Provider Identifier
1649044025
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00814400 Issued in NJ
Practice address
1205 US Highway 22
Phillipsburg, NJ 08865-4100
Phone
(908) 213-2211
NPI assigned
Nov 7, 2023
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00814400 NJ Primary

Addresses

Primary practice location

1205 US Highway 22
Phillipsburg, NJ 08865-4100

Mailing address

6676 Rutherford Dr
Macungie, PA 18062-8047
Phone (484) 809-4940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240416001200 NJ Practitioner - Physician Assistant 0941649552 Reassigns benefits to 1 organization
I20260128004588 PA Practitioner - Physician Assistant 0941649552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Urgent Care Centers, PLLCGroup PAC ID 8123200631, 107 clinicians
The Doctor Is in, PAGroup PAC ID 0547246050, 8 clinicians

Practice addresses (Care Compare)

3201 Market St
Camp Hill, PA 17011-4422
Phone (717) 857-6766

54 Old Hwy 22
Clinton, NJ 08809-1389
Phone (908) 730-6363

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

3201 Market St
Camp Hill, PA 17011
Phone (717) 303-3020

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

49 Prince St
Harrisburg, PA 17109
Phone (717) 901-3440

Interoperability endpoints

  • Direct secure messaging: samantha.mull.p1@direct.tdii.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1649044025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6676 RUTHERFORD DR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628047",
            "telephone_number": "484-809-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 US HIGHWAY 22",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088654100",
            "telephone_number": "908-213-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULL",
        "first_name": "SAMANTHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00814400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.