Individual provider Active NPI

Christopher James Festa, MD

  • Pediatric Critical Care Medicine Physician
  • Long Branch, NJ
National Provider Identifier
1366430266
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
25MA05544400 Issued in NJ
Practice address
300 2ND Ave FL 3
Long Branch, NJ 07740-6303
Phone
(732) 222-5200
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X MD 054546L PA
Pediatric Critical Care Medicine Physician 2080P0203X 25MA05544400 NJ Primary

Addresses

Primary practice location

300 2ND Ave FL 3
Long Branch, NJ 07740-6303

Mailing address

220 Ambleside Village LN
Davidson, NC 28036-0587
Phone (856) 816-2818

Other practice location 1

100 Bowman Dr
Virta Voorhees Hospital
Voorhees, NJ 08043-9612
Phone (856) 782-3300

Other practice location 2

220 Ambleside Village Ln
Davidson, NC 28036-0587
Phone (856) 816-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131017001030 NJ Practitioner - Pediatric Medicine 6406804459 Reassigns benefits to 1 organization
I20220711003177 NC Practitioner - HospitalistPractitioner - Pediatric Medicine 6406804459 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05544400NJMDPediatric Critical Care Medicine Physician
MD 054546LPAMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Oct 12, 2022 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Dec 12, 2024 Accepting new patients
Charlotte Pediatric Clinic Current Accepting new patients
Carolinas Medical Center CurrentSince Jul 11, 2022 Accepting new patients
Carolinas Medical Center CurrentSince Jul 11, 2022 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 12, 2022 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

231 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 304-6400

6235 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 512-5060

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

13640 Steelecroft Pkwy
Ste 210
Charlotte, NC 28278
Phone (704) 512-6100

300 2nd Ave
Fl 3
Long Branch, NJ 07740
Phone (732) 222-5200

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

Organizations & group practices 9

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1366430266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 AMBLESIDE VILLAGE LN",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280360587",
            "telephone_number": "856-816-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE FL 3",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406303",
            "telephone_number": "732-222-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Bowman Dr",
            "address_2": "Virta Voorhees Hospital",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-782-3300",
            "fax_number": "267-425-9331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Ambleside Village Ln",
            "address_purpose": "LOCATION",
            "city": "Davidson",
            "state": "NC",
            "postal_code": "280360587",
            "country_code": "US",
            "telephone_number": "856-816-2818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FESTA",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "PA",
            "license": "MD 054546L",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NJ",
            "license": "25MA05544400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.