JORGE SAM RN
NPI 1245724301
Nurse Anesthetist, Certified Registered in Voorhees, NJ

Q: What is Jorge Sam's NPI number?

The NPI number for Jorge Sam is 1245724301. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Q: What is Jorge Sam's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jorge Sam was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 21, 2018Accepts Medicare Assignment

136 ROUTE 73 STE A, VOORHEES, NJ 08043(877) 388-2778(856) 424-7529 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2024, Aug 7, 2024, Jun 21, 2018 (3 updates tracked since 2018).

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About Jorge Sam Rn NPPES

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

JORGE SAM RN (NPI 1245724301) is an individual nurse anesthetist, certified registered in Voorhees, New Jersey, licensed in New Jersey (26NJ15024300) and active in the NPI registry since June 2018. He is affiliated with Thomas Jefferson University Hospital, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245724301

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJORGE SAMCredential: RN

Location Address136 ROUTE 73 STE AVoorhees, NJ 08043-9598

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300

Phone(877) 388-2778

Fax(856) 424-7529

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 21, 2018

Last NPPES UpdateJanuary 24, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2025

✔ NPI 1245724301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in NJ · 26NJ15024300✔ Licensed in NJ · 26NR18057100

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN590397 (PA)

136 ROUTE 73 STE A, Voorhees, NJ 08043

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Secondary Practice Locations 3

Location 1111 S 11th StPhiladelphia, PA 19107-4824 · Phone (215) 955-6161

Location 2175 Madison AveMount Holly, NJ 08060-2099 · Phone (609) 914-6000

Location 3218 Sunset Rd Fl 2Willingboro, NJ 08046-1110 · Phone (609) 835-2900

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

Jorge Sam Rn 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 ID7517218233

PECOS Enrollment IDI20180919002755, I20240904000168

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08043 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

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 10

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

DR. BRIJESH PATEL MD

Urology