Dr Eduardo Samaniego - Primary Medical Care LLC

Family Medicine in Newark, NJ. Organization (NPI-2).

NPI number1255878468

StatusActive

Last updated in NPPESJan 25, 2017

Details

NPI: 1255878468
Entity type: Organization (NPI-2)
Legal business name: Dr Eduardo Samaniego - Primary Medical Care LLC
Organization subpart: No
Enumeration date: Jan 25, 2017
Last updated: Jan 25, 2017

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
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
207Q00000X	Family Medicine	25MA08438900	NJ	Yes

Practice location

76 Prospect St
Newark, NJ 07105-1881

Phone 973-333-4480 · Fax 973-900-8809

Mailing address

945 Crestwood Rd
Scotch Plains, NJ 07076-4510

Phone 973-333-4480 · Fax 973-900-8809

Authorized official

Eduardo Samaniego
President
5167758605

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