Samra Plastic and Reconstructive Surgery LLC
NPI 1508804493ActiveOrganization· Specialist· Holmdel, NJ
Specialist in Holmdel, New Jersey, registered in NPPES in June 2006. The authorized official on file is Nicole Biskup, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508804493 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 3, 2006 |
| Last updated in NPPES | Oct 23, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 25MA03149800 | NJ |
| Specialist | 174400000X | 25MA07712600 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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