Individual provider Active NPI

Samuel Taylor, PA-C

  • Medical Physician Assistant
  • Gilbertsville, PA
National Provider Identifier
1942931316
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA063620 Issued in PA
Practice address
1109 Grosser Rd
Gilbertsville, PA 19525-9228
Phone
(484) 498-6060
NPI assigned
Jun 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA063620 PA Primary
Physician Assistant 363A00000X MA063620 PA

Addresses

Primary practice location

1109 Grosser Rd
Gilbertsville, PA 19525-9228

Mailing address

11 W 2ND St Unit 362
Bethlehem, PA 18015-1386

Other practice location 1

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (866) 785-8537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220721000537 PA Practitioner - Physician Assistant 8527449636 Reassigns benefits to 1 organization
I20250325000770 NJ Practitioner - Physician Assistant 8527449636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Jul 25, 2022 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Feb 21, 2025 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Feb 21, 2025 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 25, 2022 Accepting new patients

Locations

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

1872 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-1200

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: samuel.taylor@slpg.direct-sluhn.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1942931316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W 2ND ST UNIT 362",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 GROSSER RD",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259228",
            "telephone_number": "484-498-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1872 St Lukes Blvd",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180455669",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SAMUEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063620",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbertsville, PA

Sources for this page

Verify at the official NPI Registry.