Individual provider Active NPI

Soumen Samaddar, M.D.

  • Family Medicine Physician
  • Pennington, NJ
National Provider Identifier
1790004752
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08767300 Issued in NJ
Practice address
84 Route 31 N
Pennington, NJ 08534-3605
Phone
(609) 730-1771
Fax
(609) 730-1274
NPI assigned
May 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08767300 NJ Primary

Addresses

Primary practice location

84 Route 31 N
Pennington, NJ 08534-3605

Mailing address

84 Route 31 N
Suite 103
Pennington, NJ 08534-3605
Phone (609) 730-1771

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105001026 NJ Practitioner - Family Practice 9830384650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hunterdon Primary Care PCGroup PAC ID 4486951183, 62 clinicians

Practice addresses (Care Compare)

84 Route 31 N
Suite 103
Pennington, NJ 08534-3605
Phone (609) 730-1771

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Primary Care, PC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Hunterdon Primary Care PC Family Medicine Current Accepting new patients
Hunterdon Primary Care PC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Hunterdon Medical Center Past Accepting new patients
Hunterdon Primary Care PC Family Medicine Past Accepting new patients

Locations

2143 S Branch Rd
Branchburg, NJ 08876
Phone (718) 720-6866

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

215 State Route 31
#116
Flemington, NJ 08822

61 Frontage Rd
Hampton, NJ 08827
Phone (908) 735-2594

84 Route 31 N
Ste 103
Pennington, NJ 08534
Phone (609) 730-1771

84 Route 31 N
Pennington, NJ 08534
Phone (609) 730-1771

Interoperability endpoints

  • Direct secure messaging: soumen.samaddar.p26@direct.hunterdon.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1790004752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 ROUTE 31 N",
            "address_2": "SUITE 103",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085343605",
            "telephone_number": "609-730-1771",
            "fax_number": "609-730-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 ROUTE 31 N",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085343605",
            "telephone_number": "609-730-1771",
            "fax_number": "609-730-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMADDAR",
        "first_name": "SOUMEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08767300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.