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

Active since June 21, 2018PECOS EnrolledAccepts 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: October 25, 2026.

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

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 enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains 3 additional practice locations.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jorge Sam reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virtua Medical Group, PA
0.4 mi
Urgent Care
158 ROUTE 73 STE B
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1912457755 (856) 247-7230
Methodist Associates In Healthcare Of New Jersey, P.C.
10 mi
Neurological Surgery
445 HURFFVILLE CROSSKEYS RD STE B16
Sewell, NJ 08080
  • Reassigned Medicare billing, New Jersey enrollment
  • 182 clinicians in this Medicare group
NPI 1568078095 (856) 256-7591
Jefferson University Physicians
15 mi
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
NPI 1326093675 (215) 955-0000
Anesthesia Services PA
38 mi
Anesthesiology
2 READS WAY, SUITE 201
New Castle, DE 19720
  • Reassigned Medicare billing, Delaware enrollment
  • 348 clinicians in this Medicare group
NPI 1053366377 (302) 709-4504
Summit Medical Group PA
64 mi
Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group
NPI 1942254347 (908) 273-4300

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

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 11

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

DR. BRIJESH PATEL MD
Urology
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Camden County (877) 388-2778
CHRISTOPHER ANDERS MILTON CRNA, DNP
Nurse Anesthetist, Certified Registered
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Camden County (877) 388-2778
SAFIRAH STEWART PA-C
Physician Assistant (Surgical)
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Camden County (877) 388-2778
THERESA J WHITING APN-ANESTHESIA
Nurse Anesthetist, Certified Registered
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Camden County (877) 388-2778
GREGG ILAN KHODOROV MD, MBA
Radiology (Vascular & Interventional Radiology)
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Camden County (877) 388-2778
MRS. STEPHANIE SAPIO APRN
Nurse Practitioner (Adult Health)
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Camden County (877) 388-2778
RONALD MCDONALD CLEARIE III
Urology
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Camden County (877) 388-2778
SHEILA MARIE CLARK
Nurse Anesthetist, Certified Registered
136 ROUTE 73 STE A
VOORHEES, NJ 08043
Camden County (877) 388-2778

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 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.

Where is Jorge Sam located?

Jorge Sam practices at 136 Route 73 Ste A, Voorhees, NJ 08043. The listed phone number is (877) 388-2778.

What is Jorge Sam's specialty?

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

Is Jorge Sam enrolled in Medicare?

Yes. Jorge Sam 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 organizations bill Medicare for Jorge Sam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Sam reassigns Medicare benefits to 5 organizations: Virtua Medical Group, PA (Voorhees, NJ), Methodist Associates In Healthcare Of New Jersey, P.C. (Sewell, NJ), Jefferson University Physicians (Philadelphia, PA), Anesthesia Services PA (New Castle, DE) and Summit Medical Group PA (Berkeley Heights, NJ). Each 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 Jorge Sam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jorge Sam affiliated with any hospitals?

According to CMS data, Jorge Sam is affiliated with Thomas Jefferson University Hospital.

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 21 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.