Individual provider Active NPI

Christopher Samaniego, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jersey City, NJ
National Provider Identifier
1720512155
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00356200 Issued in NJ
Practice address
550 Newark Ave Ste 308
Jersey City, NJ 07306-1353
Phone
(201) 418-9110
Fax
(201) 839-5647
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00356200 NJ Primary

Addresses

Primary practice location

550 Newark Ave Ste 308
Jersey City, NJ 07306-1353

Mailing address

550 Newark Ave Ste 308
Jersey City, NJ 07306-1353
Phone (201) 418-9110

Other practice location 1

433 60th St Fl 1
West New York, NJ 07093-2211
Phone (201) 770-9995

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201009000020 NJ Practitioner - Podiatry 5991074916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Garden State Cardiology LLCGroup PAC ID 3375675036, 15 clinicians

Practice addresses (Care Compare)

550 Newark Ave
Suite 307
Jersey City, NJ 07306-1353
Phone (201) 418-9111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of skin lesions1-10
Removal of nail tissue174
Removal or shaving of skin growth102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00356200NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Garden State Cardiology LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

550 Newark Ave
Ste 308
Jersey City, NJ 07306
Phone (201) 239-9500

550 Newark Ave
Ste 303
Jersey City, NJ 07306
Phone (201) 659-5003

550 Newark Ave
Ste 307
Jersey City, NJ 07306
Phone (201) 418-9111

550 Newark Ave
Jersey City, NJ 07306
Phone (201) 795-0205

1009 79th St
North Bergen, NJ 07047
Phone (201) 868-1112

3916 Kennedy Blvd
Ste 1
Union City, NJ 07087

433 60th St
Ste 1
West New York, NJ 07093

433 60th St
West New York, NJ 07093
Phone (201) 770-9995

433 60th St
Fl 1
West New York, NJ 07093
Phone (201) 770-9995

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGAICD

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1720512155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE STE 308",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061353",
            "telephone_number": "201-418-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE STE 308",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061353",
            "telephone_number": "201-418-9110",
            "fax_number": "201-839-5647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 60th St Fl 1",
            "address_purpose": "LOCATION",
            "city": "West New York",
            "state": "NJ",
            "postal_code": "070932211",
            "country_code": "US",
            "telephone_number": "201-770-9995",
            "fax_number": "201-770-9996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMANIEGO",
        "first_name": "CHRISTOPHER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00356200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.