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

Samantha Corallo

Individual provider Athletic Trainer · NPI 1184314999

Samantha Corallo is an Athletic Trainer in Wayne, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

300 Pompton Rd
Wayne, NJ 07470-2103
Phone: (973) 720-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1184314999
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESMay 15, 2023
Certification dateMay 14, 2023
Mailing address89 34th St, Fair Lawn, NJ 07410-4602

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