Individual provider Active NPI

Samah Shawki Abdelwahab, CRNP

  • Family Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1659022374
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025058 Issued in PA
Practice address
595 W State St
Doylestown, PA 18901-2554
Phone
(215) 345-2200
NPI assigned
Jan 13, 2022
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP025058 PA Primary

Addresses

Primary practice location

595 W State St
Doylestown, PA 18901-2554

Mailing address

301 Heights LN Apt 34D
Feasterville Trevose, PA 19053-7644
Phone (267) 597-8022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231025000567 PA Practitioner - Nurse Practitioner 8426404658 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP025058PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates Current Accepting new patients
Vitality NP Group LLC CurrentSince Oct 28, 2023 Accepting new patients
Via Affiliates CurrentSince Feb 6, 2025 Accepting new patients
Via Affiliates CurrentSince Feb 6, 2025 Accepting new patients
Clinical Specialty Associates CurrentSince Nov 1, 2025 Accepting new patients
Clinical Specialty Associates CurrentSince Nov 1, 2025 Accepting new patients

Locations

685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

Organizations & group practices 8

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": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1659022374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HEIGHTS LN APT 34D",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190537644",
            "telephone_number": "267-597-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W STATE ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012554",
            "telephone_number": "215-345-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELWAHAB",
        "first_name": "SAMAH",
        "middle_name": "SHAWKI",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.