Individual provider Active NPI

Christine Claire Menegus, APN

  • Nurse Practitioner
  • Manahawkin, NJ
National Provider Identifier
1063238590
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15224700 Issued in NJ
Practice address
1301 Route 72 W Ste 290
Manahawkin, NJ 08050-2483
Phone
(732) 608-2644
NPI assigned
Nov 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15224700 NJ Primary

Addresses

Primary practice location

1301 Route 72 W Ste 290
Manahawkin, NJ 08050-2483

Mailing address

1174 Beach LN
Manahawkin, NJ 08050-2012
Phone (609) 618-9807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305000170 NJ Practitioner - Nurse Practitioner 9133640378 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Imaging LLCGroup PAC ID 8123312055, 68 clinicians
Advanced Radiology SolutionsGroup PAC ID 5597985507, 36 clinicians

Practice addresses (Care Compare)

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 530-2525

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011

1301 Route 72 W
Suite 290
Manahawkin, NJ 08050-2483
Phone (732) 678-0087

649 Shore Rd
Somers Point, NJ 08244-2449
Phone (609) 653-3620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Village Imaging, LLC CurrentSince Jan 10, 2025 Accepting new patients
Coastal Imaging LLC CurrentSince Jan 2, 2025 Accepting new patients
Advanced Radiology Solutions CurrentSince Jan 2, 2025 Accepting new patients

Locations

1301 Route 72 W
Ste 290
Manahawkin, NJ 08050
Phone (609) 488-5378

1301 Route 72 W
Ste 100
Manahawkin, NJ 08050
Phone (609) 978-8272

649 Shore Rd
Somers Point, NJ 08244
Phone (609) 365-6239

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1063238590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 BEACH LN",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502012",
            "telephone_number": "609-618-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ROUTE 72 W STE 290",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502483",
            "telephone_number": "732-608-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEGUS",
        "first_name": "CHRISTINE",
        "middle_name": "CLAIRE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-30",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15224700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.