Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jessy Samuel, FNP

Individual provider Family Nurse Practitioner · NPI 1154940450

Mrs. Jessy Samuel, FNP is a Nurse Practitioner in Paterson, New Jersey. Qualified in 2019, 7 years ago. Practices with John V Kelly MD PC, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

703 Main St
Paterson, NJ 07503-2621
Phone: (973) 754-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ01027200 (NJ)

Record details

NPI number1154940450
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 16, 2020
Last updated in NPPESApril 16, 2020
Certification dateApril 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice John V Kelly Md Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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