Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kayla Elizabeth Samuel , PA

Physician Assistant β€’ Waldwick, NJ

Active NPI 1033902648 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

140 Franklin Tpke Ste 6a
Waldwick, NJ 074631836

Call 2014473603 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

140 Franklin Tpke Ste 6a

Waldwick, NJ 074631836

Telephone 2014473603
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Valley Physician Services Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kayla Samuel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kayla Samuel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Waldwick and New Jersey

2 active clinicians are listed under Physician Assistant with a practice address in Waldwick, NJ (3,397 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20251028004019

Enrollment State Jurisdiction

NJ

PECOS Control ID

6800385097

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Valley Physician Services Pc

108 Jackson St, Hoboken, NJ 070306101

Phone: 8008255391

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Jeane Anthony , FNP

Nurse Practitioner - Family

NPI 1245080852

Family Nurse Practitioner

Dana Boccellari , APN

Nurse Practitioner - Family

NPI 1649014937

Advanced Practice Nurse

Janele Coppola , APN, FNP-C

Nurse Practitioner - Family

NPI 1497206288

Advanced Practice Nurse, Family Nurse Practitioner (Certified)

NPI 1659560308

Doctor of Medicine (M.D.)

Annamma George , NP

Nurse Practitioner

NPI 1205220910

Nurse Practitioner

Dr. Andrew Granas , MD

Family Medicine

NPI 1083607162

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 28, 2026

Registered at 140 FRANKLIN TPKE STE 6A, WALDWICK, NJ 074631836 (Tel: 2014473603)

πŸ“
Updated Business Mailing Address January 28, 2026

Registered at 140 FRANKLIN TPKE STE 6A, WALDWICK, NJ 074631836 (Tel: 2014473603)

βœ…
NPI Profile Active May 27, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 27, 2025

Registered at 780 CEDAR LN, TEANECK, NJ 076661706 (Tel: 2018367664)

πŸ“
Business Mailing Address (Initial Record) May 27, 2025

Registered at 780 CEDAR LN, TEANECK, NJ 076661706 (Tel: 2018367664)

πŸ‘€
Provider Name / Credentials (Initial Record) May 27, 2025

Recorded as KAYLA SAMUEL, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2025

Physician Assistant

🟒
Initial NPI Registration & Enumeration May 27, 2025

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1033902648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2025
Last Update: January 28, 2026
Sole Proprietor: No

Mailing Address

140 Franklin Tpke Ste 6a

Waldwick, NJ 074631836

Phone: 2014473603

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.