Individual provider · Type 1 NPI

Samantha Shanice Gallimore, MD

Student in an Organized Health Care Education/Training Program · Englewood, NJ

NPI number 1225824261 Active · reactivated Feb 5, 2026

Practice location

350 Engle Street, Department Of Medicine
Englewood, NJ 07631

Call (201) 894-3143 Map

Mailing address

460 Orchard Street, Apartment 1
Englewood, NJ 07631

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225824261

Samantha Shanice Gallimore, MD's National Provider Identifier is 1225824261, issued on Apr 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Englewood, NJ. The record was last updated on Feb 5, 2026.