Individual provider Active NPI

Christopher Estiverne, M.D.

  • Nephrology Physician
  • Hillside, NJ
National Provider Identifier
1265775746
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA09927800 Issued in NJ
Practice address
1602 Bayview Ave
Hillside, NJ 07205-1412
Phone
(908) 906-6054
NPI assigned
Apr 3, 2013
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 285951 MA
Internal Medicine Physician 207R00000X 25MA09927800 NJ
Nephrology Physician 207RN0300X 25MA09927800 NJ Primary

Addresses

Primary practice location

1602 Bayview Ave
Hillside, NJ 07205-1412

Mailing address

185 South Orange Avenue
I Level 526
Newark, NJ 07103
Phone (973) 972-2816

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160920000169 NJ Practitioner - NephrologyPractitioner - Internal Medicine 3476840406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Rutgers New Jersey Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

140 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
285951MAMDInternal Medicine Physician
25MA09927800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Sleep Care LLC CurrentSince Aug 1, 2016 Accepting new patients
Brigham & Womens Physicians Organization Inc Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
University Physician Associates of New Jersey Inc Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Brigham & Womens Hospital, Inc. CurrentSince Sep 1, 2021 Accepting new patients

Locations

45 Francis St
Boston, MA 02115
Phone (617) 332-1700

75 Francis St
Boston, MA 02115

254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8412

399 Revolution Dr
Somerville, MA 02145
Phone (800) 856-1983

6 Brighton Rd
Ste 106
Clifton, NJ 07012
Phone (973) 272-6933

140 Bergen St
Newark, NJ 07103
Phone (973) 972-0320

30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1265775746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SOUTH ORANGE AVENUE",
            "address_2": "I LEVEL 526",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-972-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 BAYVIEW AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051412",
            "telephone_number": "908-906-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTIVERNE",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "285951",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09927800",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA09927800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, NJ

Sources for this page

Verify at the official NPI Registry.