MS. SAMANTHA BUSSANICH PA-C
NPI 1265808018
Physician Assistant in Manahawkin, NJ

Active since August 17, 2015PECOS Enrolled
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050(609) 597-6011 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Samantha Bussanich Pa-c NPPES

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

MS. SAMANTHA BUSSANICH PA-C (NPI 1265808018) is an individual physician assistant in Manahawkin, New Jersey, licensed in New Jersey (25MP00599300) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1265808018
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SAMANTHA BUSSANICHCredential: PA-C
Location Address1140 ROUTE 72 WManahawkin, NJ 08050-2412
Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688
Sole ProprietorNo
Enumeration DateAugust 17, 2015
Last NPPES UpdateMay 2, 2025
NPPES CertifiedMay 2, 2025
NPI 1265808018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NJ · 25MP00599300
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA031169 (DC)
1140 ROUTE 72 W, Manahawkin, NJ 08050

Secondary Practice Location 1

Location 1900 23rd St NWWashington, DC 20037-2342 · Phone (202) 715-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Samantha Bussanich Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08050 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
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 20

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

Nurse Anesthetist, Certified Registered
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Radiology (Radiation Oncology)
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Psychiatric Unit
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Internal Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Internal Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Emergency Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Emergency Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Emergency Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050

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 Bussanich's NPI number?

The NPI number for Samantha Bussanich is 1265808018. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Where is Samantha Bussanich located?

Samantha Bussanich practices at 1140 Route 72 W, Manahawkin, NJ 08050. The listed phone number is (609) 597-6011.

What is Samantha Bussanich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samantha Bussanich enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Bussanich was last updated on May 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.