DR EDUARDO SAMANIEGO - PRIMARY MEDICAL CARE LLC
NPI 1255878468
Family Medicine in Newark, NJ

Active since January 25, 2017
76 PROSPECT ST, NEWARK, NJ 07105(973) 333-4480(973) 900-8809 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr Eduardo Samaniego - Primary Medical Care Llc NPPES

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

DR EDUARDO SAMANIEGO - PRIMARY MEDICAL CARE LLC (NPI 1255878468) is a healthcare organization registered as a family medicine in Newark, New Jersey and active in the NPI registry since January 2017. The organization lists Eduardo Samaniego, President, as its authorized official.

NPPES Registry Identity

NPI1255878468
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDR EDUARDO SAMANIEGO - PRIMARY MEDICAL CARE LLC
Location Address76 PROSPECT STNewark, NJ 07105-1881
Mailing Address945 Crestwood RdScotch Plains, NJ 07076-4510 · (973) 333-4480 · Fax (973) 900-8809
Fax(973) 900-8809
Organization SubpartNo
Authorized OfficialEduardo SamaniegoPresident · (516) 775-8605
Enumeration DateJanuary 25, 2017
✔ NPI 1255878468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA08438900
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
76 PROSPECT ST, Newark, NJ 07105

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Eduardo Samaniego - Primary Medical Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Dr Eduardo Samaniego - Primary Medical Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1821971862
76 PROSPECT ST
Newark, NJ 07105
(973) 334-4131
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1699930123
76 PROSPECT ST
Newark, NJ 07105
(973) 344-1313
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265284137
879 BERGEN AVE STE 200
Jersey City, NJ 07306
(201) 681-0157
✔ PECOS✔ Accepts Medicare5.1 mi
Nurse Practitioner
NPI 1649863028
408 NEW BRUNSWICK AVE
Fords, NJ 08863
(732) 688-8751
✔ PECOS16 mi
Nurse Practitioner
NPI 1336516582
58 W HANOVER AVE
Morris Plains, NJ 07950
(973) 420-3246
✔ PECOS✔ Accepts Medicare18 mi

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

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 Dr Eduardo Samaniego - Primary Medical Care LLC's NPI number?

The NPI number for Dr Eduardo Samaniego - Primary Medical Care LLC is 1255878468. It was assigned to this organization in the NPPES registry on January 25, 2017.

Where is Dr Eduardo Samaniego - Primary Medical Care LLC located?

Dr Eduardo Samaniego - Primary Medical Care LLC is located at 76 Prospect St, Newark, NJ 07105. The listed phone number is (973) 333-4480.

What is Dr Eduardo Samaniego - Primary Medical Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dr Eduardo Samaniego - Primary Medical Care LLC enrolled in Medicare?

Yes. Dr Eduardo Samaniego - Primary Medical Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Eduardo Samaniego - Primary Medical Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Dr Eduardo Samaniego - Primary Medical Care LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Eduardo Samaniego - Primary Medical Care LLC was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.