Individual ProviderElzbieta SamojlukNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address901 W Main St, Freehold, NJ 07728-2537(732) 294-2875PECOS EnrollmentBased on the most recent information from CMS, provider Elzbieta Samojluk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1285646224Provider TypeIndividualFull NameSamojluk, ElzbietaTitleMs.CredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date8/11/2006Last Updated11/14/2011Contact InformationPractice LocationPractice Address901 W Main St, Freehold, NJ 07728-2537Phone(732) 294-2875Fax(732) 780-2935Mailing LocationMailing Address901 W Main Street, Freehold, NJ 07728Phone(732) 294-2875Fax(732) 780-2935Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ00181100New Jersey