Individual provider Active NPI

Samantha Pellechio

  • Physician Assistant
  • Toms River, NJ
National Provider Identifier
1942684584
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00366400 Issued in NJ
Practice address
1851 Hooper Ave
Toms River, NJ 08753-8150
Phone
(732) 531-0100
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00366400 NJ Primary

Addresses

Primary practice location

1851 Hooper Ave
Toms River, NJ 08753-8150

Mailing address

1851 Hooper Ave
Toms River, NJ 08753-8150

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
I20150902002303 NJ Practitioner - Physician Assistant 9436465614 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Primary Physicians II LLCGroup PAC ID 1153778667, 7 clinicians

Practice addresses (Care Compare)

1910 Hwy 35
Oakhurst, NJ 07755-2715
Phone (732) 531-4747

196 Jack Martin Blvd
Suite a 2
Brick, NJ 08724-7769
Phone (732) 458-4045

Hospital & facility affiliations

  • Hackensack Meridian at Home Ocean County Home health agency, Brick, NJ, CCN 317075
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00366400NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Urgent Care CurrentSince Jul 7, 2020 Accepting new patients
Central Jersey Urgent Care CurrentSince Jul 7, 2020 Accepting new patients
MVP Medical Associates, PA CurrentSince Oct 5, 2022 Accepting new patients
MVP Medical Associates, PA CurrentSince Oct 5, 2022 Accepting new patients
Family First Primary Physicians LLC Past Accepting new patients

Locations

200 Wyckoff Rd
Ste 1500
Eatontown, NJ 07724
Phone (732) 380-5456

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

1803 State Route 35
Oakhurst, NJ 07755
Phone (732) 695-3668

1910 State Route 35
Oakhurst, NJ 07755
Phone (732) 531-4747

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

1851 Hooper Ave
Ste B1
Toms River, NJ 08753
Phone (732) 255-2001

1851 Hooper Ave
Toms River, NJ 08753
Phone (732) 255-6566

1851 Hooper Ave
Ste B
Toms River, NJ 08753
Phone (732) 255-2001

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1942684584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538150",
            "telephone_number": "732-531-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLECHIO",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00366400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.