Samara Deva Russell, APRN, NP-C

Overview

Entity Type: Individual Healthcare Provider
NPI: 1356622120
Primary Specialty: Nurse Practitioner — Adult Health
Practice Location: Mount Arlington, New Jersey
Sole Proprietor: No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data: September 10, 2026
Records indexed: 84,001
Screened: Sep 19, 2026, 1:37 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened: Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

Nurse Practitioner
Adult Health
Physician Assistants & Advanced Practice Nursing Providers
Primary
Definition to come...
Taxonomy code 363LA2200X
Nurse Practitioner
Gerontology
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LG0600X
Clinical Nurse Specialist
Occupational Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 364SX0106X

Provider-Reported License Information

Nurse Practitioner (New Jersey): 26NJ0107800
Nurse Practitioner (Connecticut): 004763
Nurse Practitioner (Rhode Island): CAPRN00529
Clinical Nurse Specialist (Connecticut): 4763

License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

400 Valley Rd Ste 105

Mount Arlington, New Jersey 07856-2316

Phone: (973) 770-7101

Additional Practice Location

475 Kilvert St

Warwick, Rhode Island 02886-1379

Phone: (401) 447-6090

Fax: (877) 626-6891

Record Information

Enumeration Date: September 7, 2011
Provider's NPPES Record Last Updated: August 4, 2021
Certification Date: August 4, 2021
NPISignal NPPES Dataset: August 2026

Same specialty and location, currently active.

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