Christina May Bongalos Salazar, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00234900 Issued in NJ

Practice address

983 Palisade Ave
Teaneck, NJ 07666-3422

Phone

(201) 907-0637

NPI assigned

Jul 25, 2008

Sex

Female

Sole proprietor

No

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.

• Friendly Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Teaneck, NJ
  • NPI 1255843876

  NJ

  Medicare reassignment NPD
• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728

  NJ

  Medicare reassignment NPD
• Adam Alex, LLC

  • Family Medicine Physician
  • Edgewater, NJ
  • NPI 1215346218

  NJ

  Medicare reassignment
• Am PM Walk in Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Bergenfield, NJ
  • NPI 1073853859

  NJ

  Medicare reassignment
• Emergency Physician Services of New Jersey,Professional Association

  • Emergency Medicine Physician
  • Mount Holly, NJ
  • NPI 1831539568

  NJ

  Medicare reassignment
• Am PM Primary Care

  • Primary Care Clinic/Center
  • Bergenfield, NJ
  • NPI 1083045694
  NPD (past)
• Teaneck Emergency Physicians PA

  • Emergency Medicine Physician
  • Teaneck, PA
  • NPI 1972569606
  NPD (past)

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2020.

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1386809671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 PALISADE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663422",
            "telephone_number": "201-907-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 PALISADE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663422",
            "telephone_number": "201-907-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGALOS SALAZAR",
        "first_name": "CHRISTINA MAY",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00234900",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Boisits Jr.
• Conrado A Boja III, M.D.
• Michael Conrad Tandayag Boja, D.O
• Bolsters and Balls Occupational Therapy
• Olivia Bondarsky
• Ohenewaa A Bonsu
• Krista Bonura
• Jaquilo D Bottini
• Jessica Rose Botwinick, OTR/L
• Natalie Bou

• All providers in Teaneck, NJ
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.