Individual provider Active NPI

Christina Delgado, NP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1780122234
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341333-1 Issued in NY
Practice address
2955 Veterans Rd W Ste 2B
Staten Island, NY 10309-2504
Phone
(917) 379-8732
NPI assigned
Feb 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341333-1 NY Primary

Addresses

Primary practice location

2955 Veterans Rd W Ste 2B
Staten Island, NY 10309-2504

Mailing address

56 Copley St
Staten Island, NY 10314-6119
Phone (917) 379-8732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20180328000177 NY Practitioner - Nurse Practitioner 0042572299 Reassigns benefits to 1 organization
I20191205002826 NJ Practitioner - Nurse Practitioner 0042572299 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F341333-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Urgent Care CurrentSince Sep 16, 2019 Accepting new patients
Central Jersey Urgent Care CurrentSince Sep 16, 2019 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Feb 13, 2018 Accepting new patients

Locations

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014

Organizations & group practices 3

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": "1486166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1780122234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 COPLEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146119",
            "telephone_number": "917-379-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VETERANS RD W STE 2B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092504",
            "telephone_number": "917-379-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "CHRISTINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-04",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341333-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.