Individual provider · Type 1 NPI

Samantha Marie Kratochvil, PA-C

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

NPI number 1912877408 Active

Practice location

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Call (973) 322-5000 Map

Other practice locations

  • 825 Fairfax Ave, Norfolk, VA 23507-1912 · (747) 446-5600

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X25MP01045100 (NJ)
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.

609 other providers at this address

Other student in an organized health care education/training program providers in Livingston

See all in Livingston →

About NPI 1912877408

Samantha Marie Kratochvil, PA-C's National Provider Identifier is 1912877408, issued on Nov 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Livingston, NJ. The record was last updated on Sep 11, 2026.