Individual provider Active NPI

Christina Yick Dooley, M.D.

  • Pediatrics Physician
  • West Orange, NJ
National Provider Identifier
1508984147
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA09042100 Issued in NJ
Practice address
745 Northfield Ave Ste 7
West Orange, NJ 07052-1136
Phone
(973) 243-0002
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA09042100 NJ Primary
Pediatrics Physician 208000000X 234621 NY

Addresses

Primary practice location

745 Northfield Ave Ste 7
West Orange, NJ 07052-1136

Mailing address

111 Island Ave
Ramsey, NJ 07446-1531
Phone (201) 819-7479

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
I20151117001448 NJ Practitioner - Pediatric Medicine 7012953862 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Mar 1, 2020 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
Christina Y Dooley MD LLC Pediatrics PastSince Feb 2, 2020 Accepting new patients
Kintiroglou Pediatrics LLC Pediatrics Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

17-10 Fair Lawn Ave
Fair Lawn, NJ 07410
Phone (201) 794-7977

7 James St
Florham Park, NJ 07932
Phone (973) 295-6226

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

745 Northfield Ave
Ste 7
West Orange, NJ 07052
Phone (973) 243-0002

Organizations & group practices 4

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1508984147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ISLAND AVE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461531",
            "telephone_number": "201-819-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NORTHFIELD AVE STE 7",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521136",
            "telephone_number": "973-243-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "CHRISTINA",
        "middle_name": "YICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09042100",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "234621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.