Individual provider Active NPI

Christina Marie Ponzio, PA-C

  • Physician Assistant
  • Hammonton, NJ
National Provider Identifier
1730513193
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
363A00000X Issued in NJ
Practice address
640 S White Horse Pike
Hammonton, NJ 08037-2014
Phone
(856) 596-0111
Fax
(856) 596-7194
NPI assigned
Aug 21, 2013
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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 363A00000X NJ Primary

Addresses

Primary practice location

640 S White Horse Pike
Hammonton, NJ 08037-2014

Mailing address

10000 Sagemore Dr Ste 10101
Marlton, NJ 08053-3944
Phone (856) 596-0111

Other names 1

  • Mrs. Christina Marie Guarino Former name

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
I20131105000342 NJ Practitioner - Physician Assistant 2860627502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heymann, Manders, Green and Sommer, LLC.Group PAC ID 3476595505, 14 clinicians
Kane Medical LLCGroup PAC ID 3274895560, 4 clinicians

Practice addresses (Care Compare)

10000 Sagemore Dr
Suite 10101
Marlton, NJ 08053-3944
Phone (856) 596-0111

223 Shore Rd
Somers Point, NJ 08244-2631
Phone (609) 705-7546

640 S White Horse Pike
Hammonton, NJ 08037-2014
Phone (856) 596-0111

Merit-based Incentive Payment System (MIPS)

Final score
94.35 of 100Reported as group
Quality
95.6
Promoting interoperability
100
Improvement activities
40
Cost
85.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
363A00000XNJMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: cponzio@hmgderm.emadirect.md

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, 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": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1730513193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SAGEMORE DR STE 10101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533944",
            "telephone_number": "856-596-0111",
            "fax_number": "856-596-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372014",
            "telephone_number": "856-596-0111",
            "fax_number": "856-596-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONZIO",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "363A00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "GUARINO",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.