Individual provider Active NPI

Christopher R Damico, D.O.

  • Family Medicine Physician
  • Landing, NJ
National Provider Identifier
1386611218
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB56916 Issued in NJ
Practice address
150 Lakeside Blvd
Landing, NJ 07850-1119
Phone
(973) 398-6300
Fax
(973) 398-6399
NPI assigned
Feb 28, 2006
Last updated
Feb 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB56916 NJ Primary

Addresses

Primary practice location

150 Lakeside Blvd
Landing, NJ 07850-1119

Mailing address

150 Lakeside Blvd
Landing, NJ 07850-1119
Phone (973) 398-6300

Other identifiers 1

IdentifierTypeStateIssuer
5495504MedicaidNJ

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
I20100223000370 NJ Practitioner - Family Practice 9931149341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

150 Lakeside Blvd
Landing, NJ 07850-1144
Phone (973) 398-6300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB56916NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Family Medicine CurrentSince Feb 11, 2026 Accepting new patients
Consensus Medical Group LLC CurrentSince Nov 19, 2021 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

150 Lakeside Blvd
Landing, NJ 07850
Phone (973) 398-6300

174 Edison Rd
Lk Hopatcong, NJ 07849
Phone (973) 663-1300

404 Lippincott Dr
Marlton, NJ 08053

170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540

Interoperability endpoints

  • Direct secure messaging: christopher.damico.1@18614.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1386611218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LAKESIDE BLVD",
            "city": "LANDING",
            "state": "NJ",
            "postal_code": "078501119",
            "telephone_number": "973-398-6300",
            "fax_number": "973-398-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LAKESIDE BLVD",
            "city": "LANDING",
            "state": "NJ",
            "postal_code": "078501119",
            "telephone_number": "973-398-6300",
            "fax_number": "973-398-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMICO",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB56916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5495504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Landing, NJ

Sources for this page

Verify at the official NPI Registry.