Search › New Jersey › 1041C0700X
Samantha Medina-Sullivan
NPI 1902725575 · on the registry since 2026
Practice
- Address
- 1218 Summerhill Rd
Wayne, NJ 07470 - Phone
- (551) 775-8978
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey