Individual provider Active NPI

Samantha Jaffe, FNP-BC

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1861326993
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP035970 Issued in PA
Practice address
2021 Chestnut St
Philadelphia, PA 19103-3373
Phone
(267) 443-2020
NPI assigned
Jun 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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 26NJ15548900 NJ
Family Nurse Practitioner 363LF0000X SP035970 PA Primary

Addresses

Primary practice location

2021 Chestnut St
Philadelphia, PA 19103-3373

Mailing address

301 Briarwood Ave
Haddonfield, NJ 08033-2907

Other practice location 1

700 Walnut St
Philadelphia, PA 19106-3505
Phone (215) 503-7300

Other practice location 2

2451 Grant Ave
Philadelphia, PA 19114-1031
Phone (215) 934-3471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1861326993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BRIARWOOD AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033373",
            "telephone_number": "267-443-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191063505",
            "country_code": "US",
            "telephone_number": "215-503-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191141031",
            "country_code": "US",
            "telephone_number": "215-934-3471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "SAMANTHA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15548900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP035970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.