Doctor profile · Federal record
Dr. SAMANTHA FANOK, PA-C
Surgical Physician Assistant (CMS: PHYSICIAN ASSISTANT) · Physician Assistant · MANASQUAN, NJ
- NPI 1962040105
- Accepts Medicare
- 3 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2315 ROUTE 34 S
MANASQUAN, NJ 087361444
(732) 974-0404
fax (732) 449-4271
Credentials & registration
- NPI registered
- December 2019 — 7 yrs on file
- Profile last updated
- December 9, 2024
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- New Jersey #25MP00788600
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1962040105. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$286
Transactions
18
Manufacturers
11
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 3 | $49.48 | |
| Novo Nordisk Inc | 3 | $45.10 | |
| Corcept Therapeutics | 3 | $44.81 | |
| Xeris Pharmaceuticals, Inc. | 2 | $33.62 | |
| Seapearl East, Inc | 1 | $24.75 | |
| Alexion Pharmaceuticals, Inc. | 1 | $16.00 | |
| SANOFI-AVENTIS U.S. LLC | 1 | $15.43 | |
| RECORDATI_RARE_DISEASES_INC. | 1 | $15.24 | |
| Bayer Healthcare Pharmaceuticals Inc. | 1 | $14.46 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 1 | $13.67 | |
| ABBVIE INC. | 1 | $13.10 |