Christian Jose Plaza, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

343284 Issued in NY

Practice address

407 Gidney Ave Ste B
Newburgh, NY 12550-3741

Phone

(845) 561-7075

Fax

(845) 561-7006

NPI assigned

Jul 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beacon Place LLCGroup PAC ID 3577866839, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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.

• Beacon Place LLC

  • Adult Day Care Clinic/Center
  • Highland Mills, NY
  • NPI 1326429630
  Medicare reassignment Care Compare group NPD
• Cross Valley Health & Medicine, P.C.

  • Internal Medicine Physician
  • Newburgh, NY
  • NPI 1427271956
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Luke'S Cornwall Hospital

  • General Acute Care Hospital
  • Newburgh, NY
  • NPI 1003923434
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1477039733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 GIDNEY AVE STE B",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503741",
            "telephone_number": "845-561-7075",
            "fax_number": "845-561-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 GIDNEY AVE STE B",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503741",
            "telephone_number": "845-561-7075",
            "fax_number": "845-561-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAZA",
        "first_name": "CHRISTIAN",
        "middle_name": "JOSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405130",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keva T Pittman, LPN, LMT
• Paul Wellington Pitts
• Lucia Pixley, MS, ED.
• Bevin Shannon Pizzo, OPTICAN
• Planned Parenthood of the Mid-Hudson Valley Inc
• John Plevritis
• Eugennie Plummer- Edwards, ANP
• Sunitha Polepalle, M.D.
• Paul A Pomerantz, M.D.
• Sanaadhan Poonamallee Kothandaraman

• Family Nurse Practitioner in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.