Individual provider Active NPI

Kristina Salvati-Block, PA-C

  • Medical Physician Assistant
  • Little Silver, NJ
National Provider Identifier
1154520401
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00182300 Issued in NJ
Practice address
180 White Rd Ste 209
Little Silver, NJ 07739-1166
Phone
(732) 842-0673
Fax
(732) 842-7352
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00182300 NJ Primary

Addresses

Primary practice location

180 White Rd Ste 209
Little Silver, NJ 07739-1166

Mailing address

227 Laurel Rd Ste 300
Voorhees, NJ 08043-8303
Phone (856) 669-6050

Other practice location 1

4248 Harbour Beach Blvd
Brigantine, NJ 08203-1361
Phone (609) 266-0400

Other practice location 2

1 Bethany Rd Ste 31
Hazlet, NJ 07730-1661
Phone (732) 264-7687

Other identifiers 1

IdentifierTypeStateIssuer
25MP00182300OtherNJNJ LICENSE

Other names 1

  • Kristina Marie Salvati Former name

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
I20170814001166 NJ Practitioner - Physician Assistant 2860763653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Pennsylvania State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

180 White Rd
Little Silver, NJ 07739-1166
Phone (732) 842-0673

188 Fries Mill Rd
N1
Turnersville, NJ 08012-2055
Phone (856) 875-0505

Hospital & facility affiliations

  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00182300NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC CurrentSince Jul 3, 2017 Accepting new patients

Locations

1 Bethany Rd
Ste 31
Hazlet, NJ 07730
Phone (732) 264-7687

180 White Rd
Ste 204
Little Silver, NJ 07739
Phone (732) 842-4111

180 White Rd
Ste 209
Little Silver, NJ 07739
Phone (732) 842-0673

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

Interoperability endpoints

  • Direct secure messaging: kristina.salvatiblock@axia.eclinicaldirectplus.com

Organizations & group practices 2

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 2

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154520401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LAUREL RD STE 300",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080438303",
            "telephone_number": "856-669-6050",
            "fax_number": "565-283-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WHITE RD STE 209",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391166",
            "telephone_number": "732-842-0673",
            "fax_number": "732-842-7352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4248 Harbour Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Brigantine",
            "state": "NJ",
            "postal_code": "082031361",
            "country_code": "US",
            "telephone_number": "609-266-0400",
            "fax_number": "609-948-3047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Bethany Rd Ste 31",
            "address_purpose": "LOCATION",
            "city": "Hazlet",
            "state": "NJ",
            "postal_code": "077301661",
            "country_code": "US",
            "telephone_number": "732-264-7687",
            "fax_number": "732-165-7814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVATI-BLOCK",
        "first_name": "KRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00182300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MP00182300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "SALVATI",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Silver, NJ

Sources for this page

Verify at the official NPI Registry.