Individual provider Active NPI

Christina Mary James

  • Medical Physician Assistant
  • Rye Brook, NY
National Provider Identifier
1891554937
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6503 Issued in CT
Practice address
90 S Ridge St Ste 2-138
Rye Brook, NY 10573-2811
Phone
(914) 305-9090
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 6503 CT Primary

Addresses

Primary practice location

90 S Ridge St Ste 2-138
Rye Brook, NY 10573-2811

Mailing address

201 Broad St Apt 3612
Stamford, CT 06901-2004
Phone (203) 731-9378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240912000993 NY Practitioner - Physician Assistant 7416497813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group, PLLCGroup PAC ID 6204095201, 16 clinicians

Practice addresses (Care Compare)

18 Rye Ridge PLZ
Rye Brook, NY 10573-2820
Phone (914) 253-9252

26 Rye Ridge PLZ
Rye Brook, NY 10573-2820
Phone (914) 251-1100

90 S Ridge St
Rye Brook, NY 10573-2811
Phone (914) 251-1100

Hospital & facility affiliations

  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6503CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. PastSince Mar 24, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cjames689401@direct.ynhh.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1891554937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BROAD ST APT 3612",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012004",
            "telephone_number": "203-731-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S RIDGE ST STE 2-138",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732811",
            "telephone_number": "914-305-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "CHRISTINA",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "6503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.