Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497070353 Individual Practitioner Female Practitioner

Dr. Samantha Blakeslee , DO

Pediatrics • Cherry Hill, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Samantha Blakeslee, DO is a registered healthcare professional specializing in Pediatrics in Cherry Hill, NJ. Practice services are available at 710 KRESSON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

710 Kresson Rd

Cherry Hill, NJ 080032604

Telephone 8567953320
Fax 8567951213
Associated Practice Facility / Clinic
🏢 Advocare, Llc Facility NPI 1518978535

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Cherry Hill, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 54.0 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
25 Specialists

Practicing in Cherry Hill, NJ (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-05
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NJ 25MB09224400

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License PA OS016691

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Emergency Medicine

NUCC Taxonomy Code: 2080P0204X

State License NJ 25MB09224400

A pediatrician who has special qualifications to manage emergencies in infants and children.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1028913600001 (PA)

Secondary Practice Locations

100 Bowman Dr

Voorhees, NJ 080439612

Phone: 8563253000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1144284266

Doctor of Medicine (M.D.)

Luke Shieh

Pediatrics

NPI 1154697142
NPI 1326467838

Doctor of Medicine (M.D.)

NPI 1518096510

Doctor of Medicine (M.D.)

NPI 1538319827

Doctor of Medicine (M.D.)

NPI 1639759301

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location May 05, 2023

Registered at 710 KRESSON RD, CHERRY HILL, NJ 080032604 (Tel: 8567953320)

📍
Updated Business Mailing Address May 05, 2023

Registered at 401 ROUTE 73 N STE 320, MARLTON, NJ 080533426 (Tel: 8567953320)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2023

Pediatrics (License #OS016691 in PA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2023

Pediatrics (License #25MB09224400 in NJ)

📍
Updated Practice Location December 07, 2018

Registered at 100 BOWMAN DR, VOORHEES, NJ 080439612 (Tel: 8563253000)

📍
Updated Business Mailing Address December 07, 2018

Registered at 100 PENN SQUARE EAST, 9TH FLOOR NORTH TOWER, PHILADELPHIA, PA 19107 (Tel: 2674259200)

👤
Provider Name / Credentials Updated December 07, 2018

Recorded as SAMANTHA BLAKESLEE, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2018

Pediatrics (License #25MB09224400 in NJ)

NPI Profile Active April 11, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2010

Registered at 1600 ROCKLAND RD, WILMINGTON, DE 198033607 (Tel: 3026514000)

📍
Updated Business Mailing Address April 11, 2010

Registered at 1600 ROCKLAND RD, WILMINGTON, DE 198033607 (Tel: 5705615164)

👤
Provider Name / Credentials Updated April 11, 2010

Recorded as SAMANTHA CERRA, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2010

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497070353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2010
Last Update: May 05, 2023
Sole Proprietor: No

Mailing Address

401 Route 73 N Ste 320

Marlton, NJ 080533426

Phone: 8567953320

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.