Individual provider Active NPI

Christina Moore, PA-C

  • Physician Assistant
  • Elizabeth, NJ
National Provider Identifier
1235802893
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
637 Westfield Ave
Elizabeth, NJ 07208-1325
Phone
(908) 691-3800
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 Primary

Addresses

Primary practice location

637 Westfield Ave
Elizabeth, NJ 07208-1325

Mailing address

75 Martin Ave
Staten Island, NY 10314-6807
Phone (718) 710-9604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250826003251 NY Practitioner - Physician Assistant 5890295562 Reassigns benefits to 1 organization
I20251126002662 NJ Practitioner - Physician Assistant 5890295562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

1445 Richmond Ave
Staten Island, NY 10314-1563
Phone (929) 219-0622

1700 Hylan Blvd
Staten Island, NY 10305-1930
Phone (516) 537-9062

2590 Hylan Blvd
Unit a
Staten Island, NY 10306-4368
Phone (718) 502-9879

377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061

4316 Amboy Rd
Staten Island, NY 10312-3820
Phone (929) 282-4146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026752NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Health Care Associates LLC CurrentSince Sep 14, 2025 Accepting new patients
MD Care Urgent Center LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

637 Westfield Ave
Elizabeth, NJ 07208
Phone (908) 691-3800

300 South Ave
Garwood, NJ 07027
Phone (908) 232-2273

3540 John F Kennedy Blvd
#T1
Jersey City, NJ 07307

2005 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 381-3740

33 Overlook Rd
Ste 304
Summit, NJ 07901
Phone (732) 381-3740

Interoperability endpoints

  • Direct secure messaging: christina.moore@ghuc.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1235802893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MARTIN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146807",
            "telephone_number": "718-710-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WESTFIELD AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081325",
            "telephone_number": "908-691-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.