Grace Samuel, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00411300 Issued in NJ

Practice address

615 Hope Rd
Eatontown, NJ 07724-1277

Phone

(732) 571-1000

Fax

(732) 571-1156

NPI assigned

Dec 20, 2012

Sex

Female

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VPS Medical Services, PCGroup PAC ID 2961836069, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
• Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grace.samuel.p2@direct.vnahg.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• VPS Medical Services, PC

  • Internal Medicine Physician
  • Neptune, NJ
  • NPI 1265077739
  Medicare reassignment Care Compare group NPD
• Visiting Nurse Association of Central Jersey, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Holmdel, NJ
  • NPI 1336195791
  Medicare reassignment NPD
• Visiting Nurse Association of Central Jersey, Inc.

  • Home Health Agency
  • Holmdel, NJ
  • NPI 1144275892
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hackensack Meridian Ambulatory Care, Inc.

  • Home Health Agency
  • Iselin, NJ
  • NPI 1841943891
  Care Compare affiliation
• Vna Health Group of New Jersey, LLC

  • Home Health Agency
  • Toms River, NJ
  • NPI 1912964818
  Care Compare affiliation

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1922344845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CONCANNON DR",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631322",
            "telephone_number": "732-710-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOPE RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241277",
            "telephone_number": "732-571-1000",
            "fax_number": "732-571-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00411300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyoungsook Christina Sakumoto, LIC. ACUPUNCTURIST
• Sandra Mary Salama
• Nigora Salieva, DDS
• Emily Sallustio
• Raphael Fredric Samson
• Martha San Philip, LIC. MASSAGE THERAPI
• Monica Sanago
• Irene Sanborn, LCSW
• Jan Josef Sanchez
• Madison Santa Lucia, LMSW

• Family Nurse Practitioner in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.