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SAMANTHA GEETHI DESILVA
NPI 1124766316
Student in an Organized Health Care Education/Training Program in Atlantic City, NJ

Active since May 26, 2022PECOS Enrolled
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401(609) 345-4000 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2024, May 26, 2022 (2 updates tracked since 2022).

About Samantha Geethi Desilva NPPES

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

SAMANTHA GEETHI DESILVA (NPI 1124766316) is an individual student in an organized health care education/training program in Atlantic City, New Jersey, licensed in New Jersey (P23-01055) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124766316
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA GEETHI DESILVA
Location Address1925 PACIFIC AVEAtlantic City, NJ 08401-6713
Mailing Address1925 Pacific AveAtlantic City, NJ 08401-6713
Phone(609) 345-4000
Sole ProprietorNo
Enumeration DateMay 26, 2022
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1124766316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Licenses✔ Licensed in NJ · P23-01055✔ Licensed in NC · DESI-5XODYW
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1925 PACIFIC AVE, Atlantic City, NJ 08401
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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 (PECOS)

Samantha Geethi Desilva is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

NEWAZ MOHAMMED HOSSAIN MD
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 441-8146
JITEN DESAI
Internal Medicine (Gastroenterology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 652-1000
EMAAN SALAM MD
Internal Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (188) 856-9100
CHERYL LYNN HEINZ
Peer Specialist
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 703-7422
MANISHA KHATIWALA MD
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-4000
KELLY MARIE WILLMAN M.D.
Surgery (Trauma Surgery)
1925 PACIFIC AVE, TRAUMA DEPARTMENT
ATLANTIC CITY, NJ 08401
Atlantic County (609) 441-8023
MARIE FARNSWORTH
Emergency Medicine
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 345-4000
RAJESH I PATEL MD
Radiology (Diagnostic Radiology)
1925 PACIFIC AVE
ATLANTIC CITY, NJ 08401
Atlantic County (609) 677-9729

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 Desilva's NPI number?

The NPI number for Samantha Desilva is 1124766316. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Samantha Desilva located?

Samantha Desilva practices at 1925 Pacific Ave, Atlantic City, NJ 08401. The listed phone number is (609) 345-4000.

What is Samantha Desilva's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Desilva enrolled in Medicare?

Yes. Samantha Desilva is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Desilva was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.