Individual provider Active NPI

Christina Wjasow, MD

  • Clinical Cardiac Electrophysiology Physician
  • Hamilton, NJ
National Provider Identifier
1689612186
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
25MA07920600 Issued in NJ
Practice address
2073 Klockner Rd
Hamilton, NJ 08690-3414
Phone
(609) 584-1212
Fax
(609) 584-0103
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA07920600 NJ
Clinical Cardiac Electrophysiology Physician 207RC0001X 25MA07920600 NJ Primary

Addresses

Primary practice location

2073 Klockner Rd
Hamilton, NJ 08690-3414

Mailing address

2073 Klockner Road
Hamilton, NJ 08690
Phone (609) 584-1212

Other identifiers 2

IdentifierTypeStateIssuer
22-3052989OtherNJTAX ID
0079120MedicaidNJ

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
I20050825000885 NJ Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1850322199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Albert Einstein College of Medicine of Yeshiva University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Cardiology Associates PAGroup PAC ID 4284629932, 20 clinicians

Practice addresses (Care Compare)

1262 B Whitehorse Hamilton Square Rd
Hamilton, NJ 08690-3707
Phone (609) 584-1212

2073 Klockner Rd
Hamilton, NJ 08690-3414
Phone (609) 584-1212

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
  • Deborah Heart and Lung Center Hospital, Browns Mills, NJ, CCN 310031
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07920600NJMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Provider Group LLC Cardiovascular Disease CurrentSince Feb 18, 2017 Accepting new patients
Princeton Healthcare Provider Group LLC CurrentSince Feb 18, 2017 Accepting new patients
Hamilton Cardiology Associates, PA Cardiovascular Disease CurrentSince Sep 14, 2015 Accepting new patients
Princeton Healthcare Provider Group LLC Cardiovascular Disease Current Accepting new patients

Locations

1262B Whitehorse Hamilton Square Rd
Hamilton, NJ 08690
Phone (609) 584-1212

993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

5 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 269-9230

2073 Klockner Rd
Trenton, NJ 08690
Phone (609) 584-1212

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.762
  • Direct secure messaging: christina.wjasow.1@33139.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1689612186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 KLOCKNER ROAD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-584-1212",
            "fax_number": "609-584-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903414",
            "telephone_number": "609-584-1212",
            "fax_number": "609-584-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WJASOW",
        "first_name": "CHRISTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07920600",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NJ",
            "license": "25MA07920600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "22-3052989",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079120",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.