Individual provider Active NPI

Cristian Serna-Tamayo, M.D.

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1396125381
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LP03506 Issued in RI
Practice address
355 Grand St
Jersey City, NJ 07302-4321
Phone
(347) 387-6910
NPI assigned
Jun 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP03506 RI Primary

Addresses

Primary practice location

355 Grand St
Jersey City, NJ 07302-4321

Mailing address

510 18TH St Apt 1
Union City, NJ 07087-3267
Phone (347) 387-6910

Other practice location 1

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-5127

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
I20230413000975 NJ Practitioner - Internal Medicine 9739495573 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as group
Quality
76.5
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MPV New Jersey MD Services PC CurrentSince Nov 1, 2024 Accepting new patients
Call to Care LLC CurrentSince Mar 31, 2024 Accepting new patients
Salerno Medical Associates, LLC Internal Medicine CurrentSince Feb 5, 2024 Accepting new patients
Roseville Medical Society LLC Internal Medicine CurrentSince Mar 31, 2024 Accepting new patients
Metropolitan Medical Group LLC Internal Medicine CurrentSince Mar 31, 2024 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Nov 1, 2024 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
North Ward Medical Arts LLC Internal Medicine CurrentSince Mar 31, 2024 Accepting new patients
Senior Healthcare Outreach Program CurrentSince Mar 31, 2024 Accepting new patients

Locations

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

485 Mount Prospect Ave
Fl 1
Newark, NJ 07104
Phone (973) 485-6433

346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245

523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

95 Old Short Hills Rd
West Orange, NJ 07052
Phone (973) 322-4800

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

Interoperability endpoints

  • Direct secure messaging: csernatamayo1273619@ahs.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1396125381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 18TH ST APT 1",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873267",
            "telephone_number": "347-387-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 GRAND ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024321",
            "telephone_number": "347-387-6910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-5127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERNA-TAMAYO",
        "first_name": "CRISTIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2023-05-19",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP03506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.