SAMANTHA JULIA MOORE PA-C
NPI 1700678232
Physician Assistant - Surgical in Tinton Falls, NJ
About Samantha Julia Moore Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA JULIA MOORE PA-C (NPI 1700678232) is an individual surgical provider in Tinton Falls, New Jersey and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Samantha Julia Moore Pa-c 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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TINTON FALLS, NJ 07701
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 Moore's NPI number?
The NPI number for Samantha Moore is 1700678232. It was assigned to this individual provider in the NPPES registry on May 20, 2025.
Where is Samantha Moore located?
Samantha Moore practices at 1 Executive Dr, Tinton Falls, NJ 07701. The listed phone number is (732) 212-1991.
What is Samantha Moore's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Samantha Moore enrolled in Medicare?
Yes. Samantha Moore 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.
When was this NPI record last updated?
The NPPES record for Samantha Moore was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 Julia Moore, PA-C · NPI 1700678232
Surgical physician in Tinton Falls, New Jersey. Individual provider, active in the CMS NPPES registry since May 20, 2025.
## Identity
- **NPI:** 1700678232 (Entity type: Individual)
- **Enumerated:** May 20, 2025
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 EXECUTIVE DR, Tinton Falls, NJ 07701-4933
- **Phone:** (732) 212-1991
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** May 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700678232) · Data from the CMS NPPES public registry.