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SAMANTHA LEIGH COSTANZO PA-C
NPI 1053152298
Physician Assistant in Wall Township, NJ

Active since June 03, 2024PECOS EnrolledAccepts Medicare Assignment
4810 BELMAR BLVD, WALL TOWNSHIP, NJ 07753(732) 938-6090(732) 938-5680 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2024, Jun 3, 2024 (2 updates tracked since 2024).

About Samantha Leigh Costanzo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA LEIGH COSTANZO PA-C (NPI 1053152298) is an individual physician assistant in Wall Township, New Jersey, licensed in New Jersey (25MP00855900) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053152298
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA LEIGH COSTANZOCredential: PA-C
Location Address4810 BELMAR BLVDWall Township, NJ 07753-6952
Mailing Address4810 Belmar BlvdWall Township, NJ 07753-6952 · (732) 938-6090 · Fax (732) 938-5680
Phone(732) 938-6090
Fax(732) 938-5680
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 3, 2024
Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
✔ NPI 1053152298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00855900
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4810 BELMAR BLVD, Wall Township, NJ 07753
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Leigh Costanzo Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214474220
PECOS Enrollment IDI20240807002906
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAVI VERMA M.D.
Orthopaedic Surgery
4810 BELMAR BLVD
WALL TOWNSHIP, NJ 07753
Monmouth County (732) 938-6090
STACEY MONTEFUSCO MS, ATC
Orthopaedic Surgery
4810 BELMAR BLVD
NEPTUNE, NJ 07753
Monmouth County (732) 938-6090
ANITA LUCILLE COREY PA-C
Physician Assistant (Surgical)
4810 BELMAR BLVD
NEPTUNE, NJ 07753
Monmouth County (732) 938-6090
CHERYL E CAUDILL PA-C
Physician Assistant
4810 BELMAR BLVD
WALL TOWNSHIP, NJ 07753
Monmouth County (732) 938-6090
CHRISTOPHER DOUMAS MD
Orthopaedic Surgery
4810 BELMAR BLVD
WALL TOWNSHIP, NJ 07753
Monmouth County (732) 938-6090
MR. JOHN F KEEGAN DPT
Physical Therapist
4810 BELMAR BLVD
WALL TOWNSHIP, NJ 07753
Monmouth County (732) 938-5333
PATRICK S BUCKLEY MD
Orthopaedic Surgery
4810 BELMAR BLVD
WALL TOWNSHIP, NJ 07753
Monmouth County (732) 938-6090
CHLOE ELIZABETH DAUM
Specialist/Technologist (Athletic Trainer)
4810 BELMAR BLVD
NEPTUNE, NJ 07753
Monmouth County (732) 938-6090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Costanzo's NPI number?

The NPI number for Samantha Costanzo is 1053152298. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Samantha Costanzo located?

Samantha Costanzo practices at 4810 Belmar Blvd, Wall Township, NJ 07753. The listed phone number is (732) 938-6090.

What is Samantha Costanzo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samantha Costanzo enrolled in Medicare?

Yes. Samantha Costanzo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samantha Costanzo affiliated with any hospitals?

According to CMS data, Samantha Costanzo is affiliated with Jersey Shore University Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Costanzo was last updated on August 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.