Active NPI
Christian Patrick Didonna, PA-C
- Physician Assistant
- East Orange, NJ
National Provider Identifier
1255849774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00461800
- Practice address
- 300 Central Ave
East Orange, NJ 07018-2819 - Phone
- (973) 672-8400
- NPI assigned
- Jan 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MP00461800 | NJ | |
| Physician Assistant | 363A00000X | 25MP00461800 | NJ | Primary |
Addresses
Primary practice location
300 Central Ave
East Orange, NJ 07018-2819
Mailing address
84 Hackensack Plank Rd Apt 7
Weehawken, NJ 07086-5833
Phone (845) 857-9985
Other practice location 1
50 Tice Blvd Ste A35
Woodcliff Lake, NJ 07677-7681
Phone (201) 882-7526
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180220001359 | NJ | Practitioner - Physician Assistant | 3779844451 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Hamilton Health PL
Hamilton, NJ 08690-3542
Phone (609) 586-7900
110 Rehill Ave
Somerville, NJ 08876-2519
Phone (908) 685-2200
355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 915-2000
99 Hwy 37 W
Community Medical Center
Toms River, NJ 08755-6423
Phone (732) 557-8000
Hospital & facility affiliations
- Jersey City Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excella Home Health Agency, LLC | Past | Accepting new patients |
Interoperability endpoints
- cdidonna45193@epicdirect.rwjbh.org
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
NJ
-
- Home Health Agency
- Ludlow, MA
- NPI 1356642110
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": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1255849774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 HACKENSACK PLANK RD APT 7",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "070865833",
"telephone_number": "845-857-9985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CENTRAL AVE",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182819",
"telephone_number": "973-672-8400"
}
],
"practiceLocations": [
{
"address_1": "50 Tice Blvd Ste A35",
"address_purpose": "LOCATION",
"city": "Woodcliff Lake",
"state": "NJ",
"postal_code": "076777681",
"country_code": "US",
"telephone_number": "201-882-7526",
"fax_number": "855-213-1277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIDONNA",
"first_name": "CHRISTIAN",
"middle_name": "PATRICK",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-18",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MP00461800",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00461800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.