Healthcare Provider Details

I. General information

NPI: 1023998960
Provider Name (Legal Business Name): SAMANTHA MEGHAN FLORIO AGNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WELLBROOK PL FL 3
ISELIN NJ
08830-1559
US

IV. Provider business mailing address

331 NEWMAN SPRINGS ROAD BLDG. 2, SUITE 220
RED BANK NJ
07701
US

V. Phone/Fax

Practice location:
  • Phone: 848-308-5130
  • Fax: 848-245-8931
Mailing address:
  • Phone: 732-807-0877
  • Fax: 201-751-1680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ15377700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: