Edna Samson-Bacarro, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07796600 Issued in NJ

Practice address

44 Pebble Beach Dr
Egg Harbor Township, NJ 08234-7727

Phone

(609) 927-0647

Fax

(609) 927-0649

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Obstetrics/Gynecology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arnold S Bacarro MD PAGroup PAC ID 6608040050, 2 clinicians

Practice addresses (Care Compare)

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.

• Arnold S Bacarro MD PA

  • Internal Medicine Physician
  • Mays Landing, NJ
  • NPI 1265554760
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1811024565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PEBBLE BEACH DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347727",
            "telephone_number": "609-927-0647",
            "fax_number": "609-927-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PEBBLE BEACH DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347727",
            "telephone_number": "609-927-0647",
            "fax_number": "609-927-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON-BACARRO",
        "first_name": "EDNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07796600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meera Sahni, DMD, MS
• Salartash Surgical Associates, LLC
• Khashayar Salartash, MD
• Charles Scott Salkeld, D.O.
• Kira Salvatore, APN
• Richard Charles Samuel
• Perla Marie Sanchez Ventura
• Ana M Sanchez, LCSW
• Jennifer Marie Sanders, LMSW
• Leslie Sanders, CADC

• Specialist in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.