Individual Healthcare Provider
Samantha Disantis, APN
Provider's NPPES record last updated: November 13, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1629448493
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Mullica Hill, 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 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 20, 2026, 4:14 AM 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
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.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X Registered Nurse
Nursing Service Providers
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Taxonomy code 163W00000X
Provider-Reported License Information
- Nurse Practitioner (New Jersey)
- 26NJ00595500
- Registered Nurse (New Jersey)
- 26NR1252700
Practice Locations
Practice Location
141 Bridgeton Pike Unit B
Mullica Hill, New Jersey 08062-2615
Phone: (856) 291-8600
Additional Practice Location
602 Wcuthbert Blvd Unit 26 Ste A
Westmont, New Jersey 08108
Phone: (856) 946-5180
Fax: (856) 946-5181
Additional Practice Location
239 Hurffville Crosskeys Rd Ste 160
Sewell, New Jersey 08080-4005
Phone: (856) 341-8200
Fax: (856) 341-8215
Additional Practice Location
158 Route 73 Ste B
Voorhees, New Jersey 08043-9539
Phone: (856) 247-7230
Fax: (856) 247-7231
Additional Practice Location
555 High St Ste 16a
Mount Holly, New Jersey 08060-1084
Phone: (609) 444-5610
Fax: (609) 444-5611
Additional Practice Location
315 Route 70 E Ste A
Cherry Hill, New Jersey 08034-2408
Phone: (856) 375-6240
Fax: (856) 375-6241
Additional Practice Location
128 Route 70 Ste 1
Medford, New Jersey 08055-2371
Phone: (609) 367-0900
Fax: (609) 367-0901
Additional Practice Location
217 Capital Dr
Mantua, New Jersey 08051-1203
Phone: (856) 217-1778
Additional Practice Location
401 Young Ave Ste 180 Front
Moorestown, New Jersey 08057-3139
Phone: (856) 291-8600
Fax: (856) 291-8610
Record Information
- Enumeration Date
- October 5, 2015
- Provider's NPPES Record Last Updated
- November 13, 2024
- Certification Date
- November 13, 2024
- NPISignal NPPES Dataset
- August 2026
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