Individual provider Active NPI

Christine Carol Tintorer, M.D.

  • Psychiatry Physician
  • Holmdel, NJ
National Provider Identifier
1114101409
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
242476 Issued in NY
Practice address
22 S Holmdel Rd Ste 5
Holmdel, NJ 07733-2614
Phone
(732) 444-1330
Fax
(732) 444-1331
NPI assigned
Dec 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 242476 NY
Child & Adolescent Psychiatry Physician 2084P0804X 25MA08765900 NJ
Child & Adolescent Psychiatry Physician 2084P0804X MD475006 PA
Psychiatry Physician 2084P0800X 242476 NY Primary

Addresses

Primary practice location

22 S Holmdel Rd Ste 5
Holmdel, NJ 07733-2614

Mailing address

22 S Holmdel Rd Ste 5
Holmdel, NJ 07733-2614
Phone (732) 444-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
242476NYMDChild & Adolescent Psychiatry Physician
MD475006PAMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1114101409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S HOLMDEL RD STE 5",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332614",
            "telephone_number": "732-444-1330",
            "fax_number": "732-444-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S HOLMDEL RD STE 5",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332614",
            "telephone_number": "732-444-1330",
            "fax_number": "732-444-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINTORER",
        "first_name": "CHRISTINE",
        "middle_name": "CAROL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "242476",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA08765900",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD475006",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "242476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.