Courtney Grace Santifort
Physician Assistant, Medical in Freehold, NJ. Individual provider (NPI-1).
NPI number1124950720
StatusActive
Last updated in NPPESMay 30, 2026
Details
- NPI
- 1124950720
- Entity type
- Individual (NPI-1)
- Name
- Courtney Grace Santifort
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 30, 2026
- Certification date
- May 30, 2026
- Last updated
- May 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
4 Paragon WayFreehold, NJ 07728-7804
Phone 732-462-9800
Mailing address
4 Paragon WayFreehold, NJ 07728-7804
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Medical Physician Assistant providers in Freehold · All 2,110 providers in Freehold
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