Samantha Lynn Denoville, PA-C
Physician Assistant in Flemington, NJ. Individual provider (NPI-1).
NPI number1982194551
StatusActive
Last updated in NPPESJul 22, 2022
Details
- NPI
- 1982194551
- Entity type
- Individual (NPI-1)
- Name
- Samantha Lynn Denoville
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 18, 2018
- Certification date
- Jul 22, 2022
- Last updated
- Jul 22, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
121 Route 31 Ste 1200Flemington, NJ 08822-5755
Phone 908-237-4106 · Fax 908-968-3181
Mailing address
1 Kensington CtJackson, NJ 08527-1292
Phone 908-692-9788
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 30 Physician Assistant providers in Flemington · All 1,365 providers in Flemington
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