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

Samantha E Boustani, MD

Individual provider Internal Medicine Physician · NPI 1700413044

Samantha E Boustani, MD is an Internal Medicine in Lodi, New Jersey. Qualified in 2019, 7 years ago. Practices with Hackensack Meridian Health Medical Group - Primary Care PC, a 364-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

160 Essex St Ste 102
Lodi, NJ 07644-2709
Phone: (551) 996-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 30 Prospect Ave, Hackensack, NJ 07601-1915 — (551) 996-2000
  • 4 Hunter St, Lodi, NJ 07644-1608 — (551) 996-9100

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA12210800 (NJ)
Sports Medicine (Internal Medicine) Physician Taxonomy 207RS0010X · Licence 25MA12210800 (NJ)

Record details

NPI number1700413044
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing address331 Newman Springs Rd, Bldg 2, Ste 220, Red Bank, NJ 07701-5688

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Hackensack Meridian Health Medical Group - Primary Care Pc — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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