Eduardo W Samaniego, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA08438900 Issued in NJ

Practice address

76 Prospect St
Newark, NJ 07105-1881

Phone

(973) 344-1313

Fax

(973) 344-1811

NPI assigned

Jul 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr Eduardo Samaniego - Primary Medical Care LLCGroup PAC ID 8921383381, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dr Eduardo Samaniego - Primary Medical Care LLC

  • Family Medicine Physician
  • Newark, NJ
  • NPI 1255878468
  Medicare reassignment Care Compare group NPD Authorized official
• NJ Urgentcare

  • Urgent Care Clinic/Center
  • Elizabeth, NJ
  • NPI 1790381572
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1699930123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 PROSPECT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051881",
            "telephone_number": "973-344-1313",
            "fax_number": "973-344-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 PROSPECT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051881",
            "telephone_number": "973-344-1313",
            "fax_number": "973-344-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMANIEGO",
        "first_name": "EDUARDO",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08438900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181056",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Salmon, DNP, APN, ACNPC-AG
• Susan W. Salmond, R.N.
• Dhanbir S Saluja, MD PA
• Salus OB GYN Associates LLC
• Yasmina Maria Samaha, MD
• Asha Samant, DMD
• Arun K. Samanta, M.D.
• Samaritan Medical
• Samaritan Medical
• Justin Todd Sambol, MD

• Family Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.