Active NPI
Christa Milici, PA
- Physician Assistant
- Montclair, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00484400
- Practice address
- 1 Bay Ave Ste 3
Montclair, NJ 07042-4837 - Phone
- (973) 820-3470
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00484400 | NJ | Primary |
Addresses
Primary practice location
1 Bay Ave Ste 3
Montclair, NJ 07042-4837
Mailing address
1 Bay Ave Ste 3
Montclair, NJ 07042-4837
Phone (973) 820-3470
Other practice location 1
101 Old Short Hills Rd Ste 302
West Orange, NJ 07052-1023
Phone (973) 322-6757
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MPV New Jersey MD Services PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients |
Locations
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
1 Bay Ave
Ste 3
Montclair, NJ 07042
Phone (201) 490-4333
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
101 Old Short Hills Rd
Ste 302
West Orange, NJ 07052
Phone (973) 322-6200
Interoperability endpoints
- cmilici559635@ahs.direct-ci.com
Organizations & group practices 5
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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- General Practice Physician
- Westwood, NJ
- NPI 1215391271
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, NJ
- NPI 1801542816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1861974115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BAY AVE STE 3",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424837",
"telephone_number": "973-820-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAY AVE STE 3",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424837",
"telephone_number": "973-820-3470"
}
],
"practiceLocations": [
{
"address_1": "101 Old Short Hills Rd Ste 302",
"address_purpose": "LOCATION",
"city": "West Orange",
"state": "NJ",
"postal_code": "070521023",
"country_code": "US",
"telephone_number": "973-322-6757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILICI",
"first_name": "CHRISTA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00484400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.