Individual provider Active NPI

Christin John

  • Medical Physician Assistant
  • Jersey City, NJ
National Provider Identifier
1871015909
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00957800 Issued in NJ
Practice address
340 Grove St
Jersey City, NJ 07302-5905
Phone
(201) 354-1957
Fax
(585) 736-3504
NPI assigned
Jul 11, 2017
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00957800 NJ Primary

Addresses

Primary practice location

340 Grove St
Jersey City, NJ 07302-5905

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NY, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181023001460 OR Practitioner - Physician Assistant 8729351044 Reassigns benefits to 1 organization
I20200409001749 NY Practitioner - Physician Assistant 8729351044 Reassigns benefits to 6 organizations
I20260106000126 NJ Practitioner - Physician Assistant 8729351044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

135 Montague St
Brooklyn, NY 11201-3504
Phone (646) 346-7918

228 - 230 Court St
Brooklyn, NY 11201-6405
Phone (718) 280-5362

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

457 Atlantic Ave
Brooklyn, NY 11217-2107
Phone (718) 530-1144

461 Fulton St
Brooklyn, NY 11201-5207
Phone (718) 571-9418

874 Flatbush Ave
Brooklyn, NY 11226-3102
Phone (718) 571-9372

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54623CAMDPharmacist
023518NYMDMassage Therapist
25MP00957800NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Nov 26, 2025 Accepting new patients
Trillium Health, Inc CurrentSince Jan 4, 2021 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Apr 15, 2022 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Apr 15, 2022 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Nov 4, 2024 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Mar 7, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Nov 4, 2024 Accepting new patients
Summit Medical Group PA CurrentSince Nov 26, 2025 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

1 Insights Dr
Clifton, NJ 07012
Phone (201) 393-5401

2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

259 Monroe Ave
Rochester, NY 14607
Phone (585) 325-2280

3648 Dewey Ave
Rochester, NY 14616
Phone (585) 736-3503

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1871015909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 GROVE ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025905",
            "telephone_number": "201-354-1957",
            "fax_number": "585-736-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "CHRISTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00957800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.