Individual provider Active NPI

Samantha Boyd, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Howell, NJ
National Provider Identifier
1962644351
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00305200 Issued in NJ
Practice address
4645 Route 9 N
Howell, NJ 07731-3324
Phone
(732) 905-1110
Fax
(732) 905-7885
NPI assigned
Mar 31, 2009
Last updated
Feb 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00305200 NJ Primary

Addresses

Primary practice location

4645 Route 9 N
Howell, NJ 07731-3324

Mailing address

4645 Route 9 N
Howell, NJ 07731-3324
Phone (732) 905-1110

Other identifiers 1

IdentifierTypeStateIssuer
186296QHJOtherNJMEDICARE PTAN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000987 NJ Practitioner - Podiatry 6709901390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

176 Route 9
Englishtown, NJ 07726-9218
Phone (732) 722-7900

4633 Hwy 9
Howell, NJ 07731-3324

4633 US Hwy 9
Howell, NJ 07731-3324

4645 Hwy 9
Howell, NJ 07731-3324
Phone (732) 905-1110

7 Chase Rd
Lumberton, NJ 08048-6203
Phone (856) 764-4400

85 S Jefferson St
Suite 2 Morris Podiatry Associates PA
Orange, NJ 07050-1562
Phone (973) 678-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of skin lesions16
Removal of nail tissue613
Removal or shaving of skin growth56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00305200NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Foot & Ankle Surgery Past Accepting new patients
Hal Ornstein Et Al PTR Affiliated Foot & Ankle Center LLP Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: samantha.boyd@direct.hobokenumc.md
  • Direct secure messaging: samanthab@afaac-nj.direct.office.nextgen.com
  • Direct secure messaging: sboyd@cjffc-nj.direct.office.nextgen.com

Organizations & group practices 4

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1962644351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 ROUTE 9 N",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313324",
            "telephone_number": "732-905-1110",
            "fax_number": "732-905-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 ROUTE 9 N",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313324",
            "telephone_number": "732-905-1110",
            "fax_number": "732-905-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00305200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "186296QHJ",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.