NPIMap

Individual provider Active NPI

Christinna Delgenio, PA-C

  • Medical Physician Assistant
  • Colts Neck, NJ
National Provider Identifier
1265712574
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00258700 Issued in NJ
Practice address
780 Route 34
Colts Neck, NJ 07722-1281
Phone
(732) 780-9191
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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 25MP00258700 NJ Primary

Addresses

Primary practice location

780 Route 34
Colts Neck, NJ 07722-1281

Mailing address

780 Route 34
Colts Neck, NJ 07722-1281
Phone (732) 780-9191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00258700NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Institute of Central Jersey Past Accepting new patients
Orthopaedic Institute of Central Jersey Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1265712574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 ROUTE 34",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221281",
            "telephone_number": "732-780-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ROUTE 34",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221281",
            "telephone_number": "732-780-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGENIO",
        "first_name": "CHRISTINNA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00258700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.