Individual provider Active NPI

Jennifer Samaan, NP

  • Family Nurse Practitioner
  • Harrison, NJ
National Provider Identifier
1770183790
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01065900 Issued in NJ
Practice address
28 Harrison Ave
Harrison, NJ 07029-1348
Phone
(973) 484-2929
NPI assigned
Oct 28, 2020
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01065900 NJ
Critical Care Medicine Nurse Practitioner 363LC0200X 26NJ01065900 NJ
Family Nurse Practitioner 363LF0000X 26NJ01065900 NJ Primary
Primary Care Nurse Practitioner 363LP2300X 26NJ01065900 NJ

Addresses

Primary practice location

28 Harrison Ave
Harrison, NJ 07029-1348

Mailing address

11 Natalie CT
East Hanover, NJ 07936-3566
Phone (201) 682-6350

Other practice location 1

525 Union Blvd
Totowa, NJ 07512-2442
Phone (862) 229-0559

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
I20210812003184 NJ Practitioner - Nurse Practitioner 6507260585 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
BMG East Orange LLCGroup PAC ID 5193063154, 4 clinicians
Advanced Perioperative Medicine, P.a.Group PAC ID 1951206200, 8 clinicians

Practice addresses (Care Compare)

200 Fwy Dr E
Suite 305
East Orange, NJ 07018-3837
Phone (973) 310-2000

525 Union Blvd
Totowa, NJ 07512-2442
Phone (862) 229-0559

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01065900NJMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Hudson Pulmonary Associates Corpc CurrentSince Jul 17, 2021 Accepting new patients
BMG East Orange LLC CurrentSince Sep 27, 2025 Accepting new patients
Henry J. Ryngel, MD, PC CurrentSince Feb 23, 2025 Accepting new patients
Care Alternatives, Inc. CurrentSince Jan 5, 2022 Accepting new patients
Advanced Perioperative Medicine, P.a. CurrentSince Apr 24, 2021 Accepting new patients
Orthopedic & Hand Specialists, PC Past Accepting new patients

Locations

65 Jackson Dr
Ste 103
Cranford, NJ 07016
Phone (908) 931-9068

200 Freeway Dr E
Ste 305
East Orange, NJ 07018
Phone (973) 310-2000

104 Lincoln Ave
Hawthorne, NJ 07506
Phone (973) 427-6800

816 Kearny Ave
Kearny, NJ 07032
Phone (201) 991-4544

1600 Saint Georges Ave
Ste 315
Rahway, NJ 07065
Phone (908) 931-9080

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

Organizations & group practices 6

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": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1770183790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NATALIE CT",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363566",
            "telephone_number": "201-682-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HARRISON AVE",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291348",
            "telephone_number": "973-484-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Totowa",
            "state": "NJ",
            "postal_code": "075122442",
            "country_code": "US",
            "telephone_number": "862-229-0559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMAAN",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01065900",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NJ",
            "license": "26NJ01065900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01065900",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01065900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NJ

Sources for this page

Verify at the official NPI Registry.