Individual provider Active NPI

Samantha Leigh Kanarek, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Voorhees, NJ
National Provider Identifier
1912174012
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MB09328400 Issued in NJ
Practice address
200 Bowman Dr
Suite E-100
Voorhees, NJ 08043-9623
Phone
(609) 267-9400
NPI assigned
May 8, 2008
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS015935 PA
Physical Medicine & Rehabilitation Physician 208100000X 25MB09328400 NJ Primary

Addresses

Primary practice location

200 Bowman Dr
Suite E-100
Voorhees, NJ 08043-9623

Mailing address

833 Chestnut St
Ste 520
Philadelphia, PA 19107-4430
Phone (267) 592-6191

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
I20130910000100 NJ Practitioner - Physical Medicine and Rehabilitation 1759544984 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sprains, Strains and Fractures, LLCGroup PAC ID 5496806606, 8 clinicians

Practice addresses (Care Compare)

2090 Springdale Rd
Suite C
Cherry Hill, NJ 08003-2024
Phone (856) 751-5100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC Physical Medicine & Rehabilitation CurrentSince Dec 10, 2018 Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 1, 2014 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Dec 10, 2018 Accepting new patients
Virtua Medical Group, PA Physical Medicine & Rehabilitation CurrentSince Oct 1, 2014 Accepting new patients
Sprains, Strains & Fractures, LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

457 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 840-7500

2090 Springdale Rd
Ste C
Cherry Hill, NJ 08003
Phone (856) 751-5100

765 Lacey Rd
Forked River, NJ 08731
Phone (732) 840-7500

807 N Haddon Ave
Ste 1
Haddonfield, NJ 08033
Phone (856) 330-6260

999 Route 73 N
Ste 401
Marlton, NJ 08053
Phone (609) 617-3546

300 W Route 38
Moorestown, NJ 08057
Phone 60926794001224

556 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 256-7620

556 Egg Harbor Rd
Ste C
Sewell, NJ 08080

200 Bowman Dr
Ste E100
Voorhees, NJ 08043
Phone (856) 673-3960

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

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, 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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1912174012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "267-592-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR",
            "address_2": "SUITE E-100",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439623",
            "telephone_number": "609-267-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAREK",
        "first_name": "SAMANTHA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS015935",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB09328400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.