Christine M Gerena, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

013640 Issued in NY

Practice address

130 E Main St Ste 102
Smithtown, NY 11787-2810

Phone

(516) 732-6712

Fax

(631) 705-8272

NPI assigned

Dec 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1750610978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TWIXT HILLS RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801615",
            "telephone_number": "631-766-9094",
            "fax_number": "631-705-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E MAIN ST STE 102",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872810",
            "telephone_number": "516-732-6712",
            "fax_number": "631-705-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERENA",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.