Individual provider Active NPI

Christine Preblick, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1841356219
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD459803 Issued in PA
Practice address
700 Spruce St
Pine Basement West
Philadelphia, PA 19106-4022
Phone
(215) 829-3264
NPI assigned
Dec 29, 2006
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 206888 NY
Emergency Medicine Physician 207P00000X 25MA08824500 NJ
Emergency Medicine Physician 207P00000X MD459803 PA Primary

Addresses

Primary practice location

700 Spruce St
Pine Basement West
Philadelphia, PA 19106-4022

Mailing address

700 Spruce St
Pine Basement West
Philadelphia, PA 19106-4022
Phone (215) 829-3264

Other identifiers 1

IdentifierTypeStateIssuer
01760916MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110127000452 NJ Practitioner - Emergency Medicine 1153419510 Reassigns benefits to 1 organization
I20170202000924 PA Practitioner - Emergency Medicine 1153419510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers School of Dental Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Associates of North Jersey P CGroup PAC ID 7911992326, 125 clinicians

Practice addresses (Care Compare)

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (908) 522-2232

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Jul 1, 2022 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jan 1, 2017 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Jan 1, 2017 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Bimc Faculty Practice Emergency Medicine Past Accepting new patients
Beth Israel Medical Center Emergency Medicine Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients

Locations

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

700 Spruce St
Bsmt W
Philadelphia, PA 19106
Phone (215) 829-3264

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1841356219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SPRUCE ST",
            "address_2": "PINE BASEMENT WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064022",
            "telephone_number": "215-829-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SPRUCE ST",
            "address_2": "PINE BASEMENT WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064022",
            "telephone_number": "215-829-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREBLICK",
        "first_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "206888",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA08824500",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD459803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01760916",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.