SAMANTHA E BOUSTANI MD
NPI 1700413044
Internal Medicine in Lodi, NJ
About Samantha E Boustani Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA E BOUSTANI MD (NPI 1700413044) is an individual internal medicine provider in Lodi, New Jersey, licensed in New Jersey (25MA12210800) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Samantha E Boustani 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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Boustani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 clinicians in this Medicare group
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.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07644 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Boustani's NPI number?
The NPI number for Samantha Boustani is 1700413044. It was assigned to this individual provider in the NPPES registry on March 26, 2020.
Where is Samantha Boustani located?
Samantha Boustani practices at 160 Essex St Ste 102, Lodi, NJ 07644. The listed phone number is (551) 996-8111.
What is Samantha Boustani's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Samantha Boustani enrolled in Medicare?
Yes. Samantha Boustani 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 organization bills Medicare for Samantha Boustani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Boustani reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). The 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 Samantha Boustani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samantha Boustani affiliated with any hospitals?
According to CMS data, Samantha Boustani is affiliated with Hackensack University Medical Center.
When was this NPI record last updated?
The NPPES record for Samantha Boustani was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Samantha E Boustani, MD · NPI 1700413044
Internal Medicine physician in Lodi, New Jersey. Individual provider, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1700413044 (Entity type: Individual)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MA12210800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 ESSEX ST, STE 102, Lodi, NJ 07644-2709
- **Phone:** (551) 996-8111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700413044) · Data from the CMS NPPES public registry.