DR. EDUARDO W SAMANIEGO MD
NPI 1699930123
Family Medicine in Newark, NJ

Active since July 24, 2008PECOS EnrolledAccepts Medicare AssignmentCLIA 31D2143144 · Waiver
76 PROSPECT ST, NEWARK, NJ 07105(973) 344-1313(973) 344-1811 Get Directions Write a Review

NPPES record last updated: December 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Eduardo W Samaniego Md NPPES

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

DR. EDUARDO W SAMANIEGO MD (NPI 1699930123) is an individual family medicine provider in Newark, New Jersey, licensed in New Jersey (25MA08438900) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 24, 2028, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1699930123
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDUARDO W SAMANIEGOCredential: MD
Location Address76 PROSPECT STNewark, NJ 07105-1881
Mailing Address76 Prospect StNewark, NJ 07105-1881 · (973) 344-1313 · Fax (973) 344-1811
Fax(973) 344-1811
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 24, 2008
Last NPPES UpdateDecember 21, 2009
NPI 1699930123 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

Other Identifiers 1

Medicaid0181056NJ

Accepted Insurance

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

Dr. Eduardo W Samaniego Md 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 ID8224106729
PECOS Enrollment IDI20090421000541
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2143144

Dr Eduardo Samaniego Primary Med Care, LLC · Newark, NJ
Active · expires Jan 24, 2028
CLIA Number31D2143144
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorDr. Eduardo Samaniego
Laboratory Phone(973) 344-1313
Laboratory LocationDr Eduardo Samaniego Primary Med Care, LLC76 Prospect Street, Newark, NJ 07105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 33

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
682 services126 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
170 services27 patients
Amylase (enzyme) level 82150
Amylase is an enzyme that helps break down starches into sugars during digestion. An amylase level test measures the amount of this enzyme in your blood or urine. This test helps identify conditions like pancreatitis or other digestive issues.
159 services91 patients
Phosphatase (enzyme) level, alkaline 84075
The Alkaline Phosphatase Level test measures the amount of alkaline phosphatase, an enzyme, in your blood. High or low levels can indicate a variety of health conditions, such as liver disease or bone disorders. It's a common test done to help diagnose and monitor these conditions.
159 services91 patients
Albumin (protein) level 82040
The Albumin Level test measures the amount of albumin, a vital protein made by the liver, in your blood. This protein helps keep fluid in your bloodstream so it doesn't leak into other tissues. It's also vital for tissue growth and healing. Low or high levels can indicate certain health issues.
156 services91 patients
Bilirubin level, total 82247
A total bilirubin level test is a blood test that helps check how well your liver is functioning. It measures bilirubin, a yellow substance your body creates when it breaks down red blood cells. High levels may indicate a problem with your liver or bile duct.
156 services91 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07105 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers21 claims56 services$5.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims12 services$0.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Family Medicine
76 PROSPECT ST
NEWARK, NJ 07105
Nurse Practitioner (Family)
76 PROSPECT ST
NEWARK, NJ 07105
Internal Medicine
76 PROSPECT ST
NEWARK, NJ 07105
Nurse Practitioner (Family)
76 PROSPECT ST
NEWARK, NJ 07105

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 Eduardo Samaniego's NPI number?

The NPI number for Eduardo Samaniego is 1699930123. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Where is Eduardo Samaniego located?

Eduardo Samaniego practices at 76 Prospect St, Newark, NJ 07105. The listed phone number is (973) 344-1313.

What is Eduardo Samaniego's specialty?

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

Is Eduardo Samaniego enrolled in Medicare?

Yes. Eduardo Samaniego 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.

Does Eduardo Samaniego hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2143144) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eduardo Samaniego accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Eduardo Samaniego as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eduardo Samaniego was last updated on December 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.