Individual provider Active NPI

Christine Aniela Pipchick, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1700133832
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015689 Issued in NY
Practice address
315 W 70TH St
New York, NY 10023-3504
Phone
(212) 280-4740
NPI assigned
Aug 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00288800 NJ
Physician Assistant 363A00000X 015689 NY Primary

Addresses

Primary practice location

315 W 70TH St
New York, NY 10023-3504

Mailing address

300 W 108TH St Apt 13a
New York, NY 10025-2788
Phone (646) 245-4773

Other practice location 1

349 3rd St
Jersey City, NJ 07302-5634
Phone (212) 280-4740

Other identifiers 2

IdentifierTypeStateIssuer
015689-01OtherNYNYS LICENSE
25MP00288800OtherNJNJ STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130719000084 NJ Practitioner - Physician Assistant 8325289275 Reassigns benefits to 2 organizations
I20250521002005 NY Practitioner - Physician Assistant 8325289275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians
Ophelia Medical Group NJ PCGroup PAC ID 0547657397, 14 clinicians

Practice addresses (Care Compare)

18 E 41St St
FL 14
New York, NY 10017-6244
Phone (215) 585-2144

230 US Hwy 206
Suite 4
Flanders, NJ 07836-9287
Phone (215) 585-2144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
015689NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
American Chiropractic Enterprise PLLC Past Accepting new patients
Practice Associates Medical Group PastSince Mar 1, 2024 Accepting new patients

Organizations & group practices 5

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": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1700133832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 108TH ST APT 13A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252788",
            "telephone_number": "646-245-4773",
            "fax_number": "212-280-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233504",
            "telephone_number": "212-280-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 3rd St",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073025634",
            "country_code": "US",
            "telephone_number": "212-280-4740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIPCHICK",
        "first_name": "CHRISTINE",
        "middle_name": "ANIELA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00288800",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "015689-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE LICENSE",
            "identifier": "25MP00288800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.