Active NPI
Christine Busby
- Pediatric Nurse Practitioner
- Livingston, NJ
National Provider Identifier
1629320403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26NJ01357600
- Practice address
- 75 E Northfield Rd
Livingston, NJ 07039-4532 - Phone
- (973) 436-1540
- Fax
- (973) 533-0197
- NPI assigned
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F383286-01 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ01357600 | NJ | Primary |
Addresses
Primary practice location
75 E Northfield Rd
Livingston, NJ 07039-4532
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
Other practice location 1
620 Columbus Ave Ste 1
New York, NY 10024-1459
Phone (212) 874-4500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26NR19770900 | Other | NJ | REGISTERED NURSE |
| 740387-01 | Other | NY | REGISTERED NURSE |
| F383286-01 | Other | NY | NURSE PRACTITIONER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://wppc.pcc.com/secureconnect | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F383286-01 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Mental Health | Past | Accepting new patients |
| Westside Pediatrics PC | Past | Accepting new patients |
Interoperability endpoints
- christine.busby.1@2983.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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- New York, NY
- NPI 1306962881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1629320403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104",
"telephone_number": "908-273-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 E NORTHFIELD RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394532",
"telephone_number": "973-436-1540",
"fax_number": "973-533-0197"
}
],
"practiceLocations": [
{
"address_1": "620 Columbus Ave Ste 1",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100241459",
"country_code": "US",
"telephone_number": "212-874-4500",
"fax_number": "212-874-9046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSBY",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F383286-01",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NJ01357600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "26NR19770900",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "740387-01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER",
"identifier": "F383286-01",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://wppc.pcc.com/secureconnect",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMR",
"address_1": "632 Columbus Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100241406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.