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Deactivated NPI 1790725091 Deactivated / Inactive NPI Male Practitioner

Dr. Elmo T Samuel , MD

Orthopaedic Surgery • Toms River, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Elmo Samuel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 07, 2006
NPI Deactivation Date March 02, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Elmo Samuel, MD was a registered Orthopaedic Surgery practicing in Toms River, NJ. Throughout an active medical career spanning 12 years, Dr. Samuel provided care at the practice location at 530 LAKEHURST RD until profile deactivation on 2018-03-02.

Historical Medicare Part B clinical services included injection, methylprednisolone acetate, 20 mg, aspiration and/or injection of fluid from large joint, hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

530 Lakehurst Rd
Suite 101

Toms River, NJ 087558063

Telephone 7323498454
Fax 7323410259
Associated Practice Facility / Clinic
🏢 Shore Optical Facility NPI 1033263967

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Toms River, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Toms River, NJ (746 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1020 Injection, methylprednisolone acetate, 20 mg
14 12 $18.00 $5.90
20610 Aspiration and/or injection of fluid from large joint
11 11 $157.18 $73.11

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License NJ 25MA03131400

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

19 Associated Practitioners
Dr. Robert Nugent , DO

Orthopaedic Surgery

NPI 1003344219

Doctor of Osteopathic Medicine (D.O.)

Dr. Karl Blum , MD

Orthopaedic Surgery - Sports Medicine

NPI 1154361285

Doctor of Medicine (M.D.)

Dr. John Petrillo , MD

Orthopaedic Surgery

NPI 1215962816

Doctor of Medicine (M.D.)

Dr. Jess Alcid , MD

Orthopaedic Surgery - Sports Medicine

NPI 1235179896

Doctor of Medicine (M.D.)

Dr. Mark Kasper , MD

Orthopaedic Surgery

NPI 1336189026

Doctor of Medicine (M.D.)

Geraldine Retuya , PT

Physical Therapist - Orthopedic

NPI 1427310242

Physical Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 02, 2018

Record deactivated on March 02, 2018

NPI Profile Active July 25, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 25, 2013

Registered at 530 LAKEHURST RD, SUITE 101, TOMS RIVER, NJ 087558063 (Tel: 7323498454)

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Updated Business Mailing Address July 25, 2013

Registered at 530 LAKEHURST RD, SUITE 101, TOMS RIVER, NJ 087558063 (Tel: 7323498454)

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Provider Name / Credentials Updated July 25, 2013

Recorded as ELMO SAMUEL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2013

Orthopaedic Surgery (License #25MA03131400 in NJ)

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Initial NPI Registration & Enumeration June 07, 2006

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: 1790725091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2006
Last Update: July 25, 2013
Deactivation Date: March 02, 2018

Mailing Address

530 Lakehurst Rd, Suite 101

Toms River, NJ 087558063

Phone: 7323498454

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.