Individual provider Active NPI

Samantha Jean Masetti

  • Family Nurse Practitioner
  • Freehold, NJ
National Provider Identifier
1790593234
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15225700 Issued in NJ
Practice address
4 Paragon Way Ste 300
Freehold, NJ 07728-7805
Phone
(732) 462-9800
NPI assigned
Dec 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 355171 NY
Family Nurse Practitioner 363LF0000X 26NJ15225700 NJ Primary

Addresses

Primary practice location

4 Paragon Way Ste 300
Freehold, NJ 07728-7805

Mailing address

6 E Francesa CT
Farmingdale, NJ 07727-4305
Phone (516) 582-0748

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
I20250109001321 NJ Practitioner - Nurse Practitioner 2163950817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

4 Paragon Way
Suite 300
Freehold, NJ 07728-7805
Phone (212) 283-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
355171NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC CurrentSince Dec 1, 2024 Accepting new patients

Locations

4 Paragon Way
Ste 300
Freehold, NJ 07728
Phone (732) 462-9800

105 Raider Blvd
Hillsborough, NJ 08844
Phone (908) 359-9331

105 Raider Blvd
Ste 203
Hillsborough, NJ 08844
Phone (201) 299-4521

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

800 Bunn Dr
Ste 201
Princeton, NJ 08540
Phone (609) 924-1033

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

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": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1790593234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E FRANCESA CT",
            "city": "FARMINGDALE",
            "state": "NJ",
            "postal_code": "077274305",
            "telephone_number": "516-582-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARAGON WAY STE 300",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287805",
            "telephone_number": "732-462-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASETTI",
        "first_name": "SAMANTHA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355171",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15225700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.