Individual provider Active NPI

Christina Tallone, PA-C

  • Physician Assistant
  • Howell, NJ
National Provider Identifier
1720748916
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00675200 Issued in NJ
Practice address
3445 Route 9 N
Howell, NJ 07731-3305
Phone
(732) 202-0622
NPI assigned
Dec 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00675200 NJ Primary

Addresses

Primary practice location

3445 Route 9 N
Howell, NJ 07731-3305

Mailing address

1541 Route 88 Ste J
Brick, NJ 08724-2373

Other practice location 1

1541 Route 88 Ste J
Brick, NJ 08724-2373
Phone (732) 202-0622

Other identifiers 1

IdentifierTypeStateIssuer
1992818777OtherPRIVATE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220301000288 NJ Practitioner - Physician Assistant 8820482292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brick Psychiatric Services IncGroup PAC ID 0749367654, 3 clinicians

Practice addresses (Care Compare)

2640 Hwy 70
Manasquan, NJ 08736-2609
Phone (732) 202-0622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00675200NJMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: ctallone@brick.ssdirect.aprima.com

Organizations & group practices 1

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": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1720748916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 ROUTE 88 STE J",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 ROUTE 9 N",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313305",
            "telephone_number": "732-202-0622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 Route 88 Ste J",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087242373",
            "country_code": "US",
            "telephone_number": "732-202-0622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLONE",
        "first_name": "CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00675200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE",
            "identifier": "1992818777",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.