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SAMARA SOUZA
NPI 1154208460
Speech-Language Pathologist in Belmar, NJ

Active since August 19, 2025Accepts Medicare Assignment
508 10TH AVE, BELMAR, NJ 07719(732) 910-9196 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samara Souza NPPES

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

SAMARA SOUZA (NPI 1154208460) is an individual speech-language pathologist provider in Belmar, New Jersey, licensed in New Jersey (41YS01346100) and active in the NPI registry since August 2025. The provider is a graduate of Other (2024).

NPPES Registry Identity

NPI1154208460
Entity TypeIndividual
Primary Taxonomy235Z00000X
Provider Legal NameSAMARA SOUZA
Location Address508 10TH AVEBelmar, NJ 07719-2317
Mailing Address508 10th AveBelmar, NJ 07719-2317 · (732) 910-9196
Phone(732) 910-9196
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1154208460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NJ · 41YS01346100
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
508 10TH AVE, Belmar, NJ 07719
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samara Souza 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 ID8628579497
PECOS Enrollment IDI20250902003611

Medicare Billing Reassignment

Medicare enrollment records show Samara Souza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Home Rehabilitation, LLC
Same address
Multi-Specialty
508 10TH AVE
Belmar, NJ 07719
  • Reassigned Medicare billing, New Jersey enrollment
  • 180 clinicians in this Medicare group
NPI 1316236664 (908) 670-6695

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MATTHEW UNGERER
Occupational Therapist
508 10TH AVE
BELMAR, NJ 07719
Monmouth County (732) 910-9196
LIORA STOLBACH
Occupational Therapist
508 10TH AVE
BELMAR, NJ 07719
Monmouth County (732) 910-9196
ELEANOR TIER
Speech-Language Pathologist
508 10TH AVE
BELMAR, NJ 07719
Monmouth County (908) 670-6695
TYLER GDOVIN
Physical Therapist
508 10TH AVE
BELMAR, NJ 07719
Monmouth County (732) 910-9196
ALLISON LEBOVITZ
Speech-Language Pathologist
508 10TH AVE
BELMAR, NJ 07719
Monmouth County (732) 910-9196
GAVIN PENNEY
Occupational Therapist
508 10TH AVE
BELMAR, NJ 07719
Monmouth County (732) 910-9196
STEPHANIE SABIA
Occupational Therapist
508 10TH AVE
BELMAR, NJ 07719
Monmouth County (732) 910-9196
KIMBERLY MOHR
Occupational Therapist
508 10TH AVE
BELMAR, NJ 07719
Monmouth County (732) 910-9196

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 Samara Souza's NPI number?

The NPI number for Samara Souza is 1154208460. It was assigned to this individual provider in the NPPES registry on August 19, 2025.

Where is Samara Souza located?

Samara Souza practices at 508 10th Ave, Belmar, NJ 07719. The listed phone number is (732) 910-9196.

What is Samara Souza's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Samara Souza enrolled in Medicare?

Yes. Samara Souza 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.

Which organization bills Medicare for Samara Souza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samara Souza reassigns Medicare benefits to Coastal Home Rehabilitation, LLC (Belmar, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samara Souza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samara Souza was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.