SAMANTHA MARY HEGARTY PA
NPI 1386065977
Physician Assistant - Surgical in Staten Island, NY

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since December 26, 2013

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-9000 Get Directions Write a Review

NPPES record last updated: December 26, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samantha Mary Hegarty Pa NPPES

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

SAMANTHA MARY HEGARTY PA (NPI 1386065977) is an individual surgical provider in Staten Island, New York, licensed in New York (017152) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1386065977

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameSAMANTHA MARY HEGARTYCredential: PA

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address475 Seaview AveStaten Island, NY 10305-3436 · (718) 226-9000

Phone(718) 226-9000

Sole ProprietorNo

Enumeration DateDecember 26, 2013

✔ NPI 1386065977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 017152

475 SEAVIEW AVE, Staten Island, NY 10305

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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.

THAN THAN AYE MD

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