Samantha Calcutta | Staten Island, NY • PECOS Search

Samantha Calcutta

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000 (718) 640-8882

PECOS Enrollment

Based on the most recent information from CMS, provider Samantha Calcutta does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1558257253
Provider Type
Individual
Full Name
Calcutta, Samantha
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/17/2025
Last Updated
6/17/2025

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

Unlisted Fax

Mailing Location

31 Zephyr Ave, Staten Island, NY 10312-5824

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer