Individual provider Active NPI

Christie Emily Paskoski, PA-C

  • Physician Assistant
  • Mount Arlington, NJ
National Provider Identifier
1205210002
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00367900 Issued in NJ
Practice address
400 Valley Rd Ste 105
Mount Arlington, NJ 07856-2316
Phone
(973) 770-7101
Fax
(973) 770-7108
NPI assigned
Jul 13, 2015
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00367900 NJ Primary

Addresses

Primary practice location

400 Valley Rd Ste 105
Mount Arlington, NJ 07856-2316

Mailing address

400 Valley Rd Ste 105
Mount Arlington, NJ 07856-2316
Phone (973) 770-7101

Other practice location 1

16 Pocono Rd Ste 102
Denville, NJ 07834-2905
Phone (973) 453-7100

Other names 1

  • Christie Costa 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
I20240902000041 NJ Practitioner - Physician Assistant 9032658208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

169 Mine Brook Rd
Bernardsville, NJ 07924-2125
Phone (908) 766-0034

400 Valley Rd
Suite 105
Mount Arlington, NJ 07856-2316
Phone (973) 770-7101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00367900NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Jul 19, 2024 Accepting new patients
Advocare , LLC CurrentSince Jul 19, 2024 Accepting new patients
Advocare , LLC Past Accepting new patients
Essex Pediatrics Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

400 Valley Rd
Ste 105
Mt Arlington, NJ 07856
Phone (973) 770-0472

Interoperability endpoints

  • Direct secure messaging: christie.paskoski@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 4

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

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1205210002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VALLEY RD STE 105",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078562316",
            "telephone_number": "973-770-7101",
            "fax_number": "973-770-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VALLEY RD STE 105",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078562316",
            "telephone_number": "973-770-7101",
            "fax_number": "973-770-7108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Pocono Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Denville",
            "state": "NJ",
            "postal_code": "078342905",
            "country_code": "US",
            "telephone_number": "973-453-7100",
            "fax_number": "973-770-7108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASKOSKI",
        "first_name": "CHRISTIE",
        "middle_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00367900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "COSTA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Arlington, NJ

Sources for this page

Verify at the official NPI Registry.