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

Individual provider Registered Dietitian · NPI 1821725565

Samantha Rose Pankiw, RD is a Registered Dietitian in Cedar Grove, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

12 Daniel Dr
Cedar Grove, NJ 07009-1527
Phone: (551) 689-8359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86052714 (NJ)

Record details

NPI number1821725565
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedAugust 3, 2022
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022

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