SAMANTHA N FANOK PA-C
NPI 1962040105
Physician Assistant - Surgical in Manasquan, NJ

Active since December 18, 2019PECOS EnrolledAccepts Medicare Assignment
2315 ROUTE 34 S, MANASQUAN, NJ 08736(732) 974-0404(732) 449-4271 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, May 17, 2024, Jun 20, 2023 and 1 more (4 updates tracked since 2019).

About Samantha N Fanok Pa-c NPPES

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

SAMANTHA N FANOK PA-C (NPI 1962040105) is an individual surgical provider in Manasquan, New Jersey, licensed in New Jersey (25MP00788600) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962040105
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSAMANTHA N FANOKCredential: PA-C
Location Address2315 ROUTE 34 SManasquan, NJ 08736-1444
Mailing Address2315 Route 34 SManasquan, NJ 08736-1444 · (732) 974-0404 · Fax (732) 449-4271
Fax(732) 449-4271
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 18, 2019
Last NPPES UpdateDecember 9, 20244 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
NPI 1962040105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NJ · 25MP00788600
Also ListedPhysician AssistantTaxonomy 363A00000X · License 25MP00788600 (NJ)
2315 ROUTE 34 S, Manasquan, NJ 08736

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 N Fanok 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.

PECOS PAC ID6103272364
PECOS Enrollment IDI20231024001846
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.

Areas of Expertise CMS Part B claims 10

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.
94 services89 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
87 services62 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
47 services45 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
44 services41 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
38 services26 patients
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324
Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.
31 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Adult Health)
2315 ROUTE 34 S
MANASQUAN, NJ 08736

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 Fanok's NPI number?

The NPI number for Samantha Fanok is 1962040105. It was assigned to this individual provider in the NPPES registry on December 18, 2019.

Where is Samantha Fanok located?

Samantha Fanok practices at 2315 Route 34 S, Manasquan, NJ 08736. The listed phone number is (732) 974-0404.

What is Samantha Fanok's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Samantha Fanok enrolled in Medicare?

Yes. Samantha Fanok 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.

Is Samantha Fanok affiliated with any hospitals?

According to CMS data, Samantha Fanok is affiliated with Ocean Medical Center and Jersey Shore University Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Fanok was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.