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SAMANTHA DIMATTIA FNP-BC
NPI 1831912278
Nurse Practitioner in Montclair, NJ

Active since November 04, 2024PECOS Enrolled
1 BAY AVE, MONTCLAIR, NJ 07042(973) 429-6000 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 19, 2024, Nov 4, 2024 (2 updates tracked since 2024).

About Samantha Dimattia Fnp-bc NPPES

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

SAMANTHA DIMATTIA FNP-BC (NPI 1831912278) is an individual nurse practitioner in Montclair, New Jersey, licensed in New Jersey (P01587000) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831912278
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA DIMATTIACredential: FNP-BC
Location Address1 BAY AVEMontclair, NJ 07042-4837
Mailing Address1 Tulip Cres Apt 1aLittle Falls, NJ 07424-1660 · (718) 594-5959
Phone(973) 429-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 4, 2024
Last NPPES UpdateJune 12, 20262 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1831912278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · P01587000
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR20484100 (NJ)
1 BAY AVE, Montclair, NJ 07042
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Other Names 1

Other Name (5)Samantha Dimattia Fnp-bc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Dimattia Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315405479
PECOS Enrollment IDI20260819000519
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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Dimattia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shah Anuj MD PC
5.6 mi
Interventional Cardiology
293 PASSAIC ST
Passaic, NJ 07055
  • Reassigned Medicare billing, New Jersey enrollment
  • 20 clinicians in this Medicare group
NPI 1215445127 (973) 916-0002

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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.

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.

SAMRAH GHANI MD
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
JACLYN TAYLOR SCHMITZ
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MYINT KYI M.D.
Anesthesiology
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6219
EDWARD PETRARCA LCSW
Social Worker (Clinical)
1 BAY AVE, MOUNTAINSIDE HOSPITAL
MONTCLAIR, NJ 07042
Essex County (973) 429-6813
ANN FRANCES VALLONE NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6272
ANN SAMIR YASIN IBRAHIM
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
GEORGE JAMES ZACH
Dentist
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MRS. ESTHER D. BAXAM-SPENCE RN, MSN, CNNP
Nurse Practitioner (Neonatal)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6991

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 Dimattia's NPI number?

The NPI number for Samantha Dimattia is 1831912278. It was assigned to this individual provider in the NPPES registry on November 4, 2024. The provider is also known as Samantha Dimattia Fnp-Bc.

Where is Samantha Dimattia located?

Samantha Dimattia practices at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (973) 429-6000.

What is Samantha Dimattia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samantha Dimattia enrolled in Medicare?

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

Which organization bills Medicare for Samantha Dimattia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Dimattia reassigns Medicare benefits to Shah Anuj MD PC (Passaic, 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 Dimattia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Dimattia was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.