SAMANTHA ERICKSON (NPI# 1104368950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104368950 |
| Entity Type | Individual |
| Full Name | SAMANTHA ERICKSON |
| Practice Address |
212 Columbus Ave Hasbrouck Heights NJ 07604-1622 |
| Practice Telephone | 2013940431 |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
26NJ00681600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295189868 | Samantha Marie Erickson | Specialist/Technologist | 3816 W Northview Ave, Phoenix, AZ 85051-8215 | 2016-04-19 |
| 1821699315 | Samantha Elizabeth Erickson | Pharmacist | 201 Maranto Manor Dr, Winchester, VA 22602-4807 | 2020-11-03 |
| 1295333920 | Samantha Erickson | Physical Therapist | 913 Village Sq, Gretna, NE 68028-7853 | 2020-10-14 |
| 1851899926 | Samantha Erickson | Behavior Technician | 3217 S Macdill Ave, Tampa, FL 33629-1719 | 2018-01-24 |
| 1568971703 | Samantha Erickson | Speech-Language Pathologist | 9120 Springbrook Drive Nw, Fraser, Coon Rapids, MN 55433 | 2017-09-20 |
| 1760855605 | Samantha Erickson | Physical Therapist | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2015-10-31 |
| 1982867131 | Samantha Rae Erickson | Licensed Practical Nurse | 106 4th Ave North, Fergus Falls, MN 56537-1034 | 2008-07-08 |
| 1184695074 | Samantha K Erickson | Speech-Language Pathologist | 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2006-01-30 |
| Street Address |
212 COLUMBUS AVE |
| City | HASBROUCK HEIGHTS |
| State | NJ |
| Zip Code | 07604-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164991865 | Delcalzo Spine and Wellness Center | Chiropractor | 75 Nj -17, Hasbrouck Heights, NJ 07604 | 2018-11-26 |
| 1700310380 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Garrison Avenue, Hasbrouck Heights, NJ 07604 | 2017-04-20 |
| 1114382579 | David Morin | Pharmacist | 230 Walter Ave, Pharmex Pharmacy, Hasbrouck Heights, NJ 07604 | 2015-12-29 |
| 1275817439 | Evan D. Sehgal, Md Pa | Internal Medicine | 777 Terrace Avenue, Suite 311, Hasbrouck Heights, NJ 07604 | 2011-10-06 |
| 1477837110 | Eileen Delaney | Psychiatry & Neurology | 201 Oldfield Ave, Hasbrouck Heights, NJ 07604 | 2011-09-29 |
| 1740416213 | Rachel J Galas | Massage Therapist | 209 Springfield Ave, Hasbrouck Heights, NJ 07604 | 2009-06-10 |
| 1760509228 | Care Plus New Jersey, Inc. | Community/Behavioral Health | 611 Route 46 West, Suite 100, Hasbrouck Heights, NJ 07604 | 2007-03-22 |
| 1659424505 | Despina S. Fikaris | Optometrist | 227 1.2 Boulevard, Hasbrouck Heights, NJ 07604 | 2007-01-22 |
| 1952452443 | Mark John Delcalzo | Chiropractor | 75 Nj Route 17 South, Hasbrouk Heights, NJ 07604 | 2007-01-13 |
| 1396812145 | Jeffrey Ellwood Mason | Dentist | 232 Boulevard, Suite 1, Hasbrouck Heights, NJ 07604 | 2006-11-29 |
| Find all providers in zip 07604 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780479 | Mae Lynne Tietje | Nurse Practitioner | 3830 Atlantic Ave, Atlantic City, NJ 08401-6080 | 2020-11-07 |
| 1710586987 | Rosemarie B Londono | Nurse Practitioner | 20 Prospect Ave Ste 600, Hackensack, NJ 07601-1962 | 2020-10-20 |
| 1063010940 | Shruti Satish Patel | Nurse Practitioner | 78 Diana Dr, South Plainfield, NJ 07080-4437 | 2020-10-13 |
| 1366049058 | Sedrina Taina Austin | Nurse Practitioner | 82 Poplar Ave, Hackensack, NJ 07601-4707 | 2020-10-06 |
| 1952912768 | Holly M Gonzalez | Nurse Practitioner | 240 Williamson St Ste 306, Elizabeth, NJ 07202-3672 | 2020-08-14 |
| 1073124327 | Queen K Aggrey | Nurse Practitioner | 1308 Wharton Rd, Mount Laurel, NJ 08054-5296 | 2020-08-11 |
| 1497365480 | Ann Margaret Prejs | Nurse Practitioner | 2401 Highway 35 Ste A, Manasquan, NJ 08736-1193 | 2020-08-04 |
| 1164046355 | Barbara Raymond | Nurse Practitioner | 776 Nixon Rd, Union, NJ 07083-7620 | 2020-06-03 |
| 1871112557 | Care First-choice | Nurse Practitioner | 302 Harrison Ave, Millville, NJ 08332-2408 | 2020-04-13 |
| 1568081461 | Melissa N Pagan | Nurse Practitioner | 128 Maple St, Jersey City, NJ 07304-3733 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
| City | HASBROUCK HEIGHTS |
| Zip Code | 07604 |
Please comment or provide details below to improve the information on SAMANTHA ERICKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.