Individual provider Active NPI

Cristina S Centurion, NP-C

  • Family Nurse Practitioner
  • Old Bridge, NJ
National Provider Identifier
1710053095
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16315 Issued in CA
Practice address
3548 US Highway 9 Ste 2
Old Bridge, NJ 08857-2963
Phone
(732) 679-6300
Fax
(732) 679-9566
NPI assigned
Nov 28, 2006
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16315 CA Primary
Family Nurse Practitioner 363LF0000X 26NJ00100900 NJ
Family Nurse Practitioner 363LF0000X F335330-1 NY

Addresses

Primary practice location

3548 US Highway 9 Ste 2
Old Bridge, NJ 08857-2963

Mailing address

3548 US Highway 9 Ste 2
Old Bridge, NJ 08857-2963
Phone (732) 679-6300

Other practice location 1

106 Lynch Creek Way
Suite 8
Petaluma, CA 94954-2356
Phone (707) 763-6816

Other names 1

  • Cristina S Solis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ2 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
I20140603000949 CA Practitioner - Nurse Practitioner 0345427761 Reassigns benefits to 1 organization
I20190206002468 NJ Practitioner - Nurse Practitioner 0345427761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Central New Jersey PAGroup PAC ID 4688697394, 11 clinicians

Practice addresses (Care Compare)

250 S St
Freehold, NJ 07728-2635
Phone (732) 780-7870

28 Throckmorton LN
Suite 204
Old Bridge, NJ 08857-2558
Phone (732) 679-6300

3548 Route 9
Old Bridge, NJ 08857-2765
Phone (732) 679-6300

3548 Route 9 S
Suite 2
Old Bridge, NJ 08857-2765

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.83 of 100Reported as group
Quality
99.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00100900NJMDFamily Nurse Practitioner
F335330-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Central New Jersey, PA CurrentSince Dec 11, 2018 Accepting new patients
North Bay Dermatology & Skin Cancer Center P C Current Accepting new patients
North Bay Dermatology Assoc Past Accepting new patients
Shonta D Collins Consulting Group LLC PastSince Feb 23, 2020 Accepting new patients

Locations

106 Lynch Creek Way
Ste 8
Petaluma, CA 94954
Phone (707) 763-3545

250 South St
Freehold, NJ 07728
Phone (732) 780-7870

28 Throckmorton Ln
Ste 204
Old Bridge, NJ 08857
Phone (732) 679-6300

3548 US Highway 9
Ste 2
Old Bridge, NJ 08857
Phone (732) 679-6300

Interoperability endpoints

  • Direct secure messaging: ccenturion@centralnj.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1710053095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3548 US HIGHWAY 9 STE 2",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572963",
            "telephone_number": "732-679-6300",
            "fax_number": "732-679-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 US HIGHWAY 9 STE 2",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572963",
            "telephone_number": "732-679-6300",
            "fax_number": "732-679-9566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Lynch Creek Way",
            "address_2": "Suite 8",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949542356",
            "country_code": "US",
            "telephone_number": "707-763-6816",
            "fax_number": "707-763-1730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENTURION",
        "first_name": "CRISTINA",
        "middle_name": "S",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "16315",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00100900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335330-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "SOLIS",
            "middle_name": "S",
            "credential": "MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.