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DR. SAMUEL JACOB DEMATTE MD
NPI 1902691066
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 10, 2025PECOS Enrolled
901 WALNUT ST, PHILADELPHIA, PA 19107(215) 955-9425(215) 503-4347 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Samuel Jacob Dematte Md NPPES

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

DR. SAMUEL JACOB DEMATTE MD (NPI 1902691066) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902691066
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SAMUEL JACOB DEMATTECredential: MD
Location Address901 WALNUT STPhiladelphia, PA 19107-5214
Mailing Address901 Walnut StPhiladelphia, PA 19107-5214 · (215) 955-9425 · Fax (215) 503-4347
Phone(215) 955-9425
Fax(215) 503-4347
Sole ProprietorNo
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1902691066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
901 WALNUT ST, Philadelphia, PA 19107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Jacob Dematte Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MARGARET ROSE DENBLEYKER MD
Student in an Organized Health Care Education/Training Program
901 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9425
ALYSHA FISHER
Nurse Practitioner
901 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (610) 329-8862
DR. GINA DESEVO BELLOTTIE PHARM.D.
Pharmacist
901 WALNUT ST, SUITE 901
PHILADELPHIA, PA 19107
Philadelphia County (732) 501-4717
LORI ECKERT MSOTR/L
Occupational Therapist
901 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-6791
OLIVIA CAREY
Physician Assistant
901 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1533
CAROLINE DONAHUE
Student in an Organized Health Care Education/Training Program
901 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9425
MR. ROBERT HOWARD III
Nurse Practitioner (Psychiatric/Mental Health)
901 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-8890
RYAN GILBERT CRNP
Nurse Practitioner (Family)
901 WALNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1533

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 Samuel Dematte's NPI number?

The NPI number for Samuel Dematte is 1902691066. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Samuel Dematte located?

Samuel Dematte practices at 901 Walnut St, Philadelphia, PA 19107. The listed phone number is (215) 955-9425.

What is Samuel Dematte's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Dematte enrolled in Medicare?

Yes. Samuel Dematte is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Dematte was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.