SAMANTHA RAE GOMAN (NPI# 1831758598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831758598 |
| Entity Type | Individual |
| Full Name | SAMANTHA RAE GOMAN |
| Credential | PA-C |
| Practice Address |
1 Bay Ave Ste 1 Montclair NJ 07042-4837 |
| Mailing Address |
5 Manor Dr Apt 9m Newark NJ 07106-3288 |
| Practice Telephone | 2014904333 |
| Practice Fax Number | 2014904334 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 BAY AVE STE 1 |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-4837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676358 | Sawyer Faith Eisaman | Physician Assistant | 4825 Cypress St Unit 217, Montclair, CA 91763-1451 | 2020-10-14 |
| 1841825585 | Bhumi Kaushik Patel | Physician Assistant | 5037 Saddleback St, Montclair, CA 91763-6539 | 2020-03-03 |
| 1881047892 | Sarah Kantelis | Physician Assistant | 9067 Sycamore Ave Unit 202, Montclair, CA 91763-1559 | 2016-07-14 |
| 1467892752 | Megan J Kera | Physician Assistant | 51 Park Street, Montclair, NJ 07042 | 2013-07-01 |
| 1720514466 | Kyungsoo Korinn Go | Physician Assistant | 8891 Central Ave, Montclair, CA 91763-1618 | 2017-05-01 |
| 1063969467 | Barry Joseph Benzing | Physician Assistant | 1 Bay Ave, Montclair, NJ 07042-4837 | 2016-09-02 |
| 1588118921 | Sarah Tadros | Physician Assistant | 9301 Central Ave, Montclair, CA 91763-2445 | 2016-08-14 |
| 1992259071 | Daniel Mccullough | Physician Assistant | 8891 Central Ave, Suite A, Montclair, CA 91763-1618 | 2016-08-07 |
| 1356798490 | Nj Medical Practice PC | Physician Assistant | 1 Bay Ave, Montclair, NJ 07042-4837 | 2016-05-18 |
| 1659728921 | Citadel Emergency Physicians LLC | Physician Assistant | 1 Bay Ave, Montclair, NJ 07042-4837 | 2016-05-17 |
| Find all providers in MONTCLAIR | ||||
Please comment or provide details below to improve the information on SAMANTHA RAE GOMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.