Individual provider Active NPI

Christina Ebel, FNP-C

  • Nurse Practitioner
  • Old Bridge, NJ
National Provider Identifier
1952996464
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NR16685200 Issued in NJ
Practice address
2 Hospital PLZ Ste 110
Old Bridge, NJ 08857-3153
Phone
(732) 972-9000
NPI assigned
Mar 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01123800 NJ
Nurse Practitioner 363L00000X 26NR16685200 NJ Primary

Addresses

Primary practice location

2 Hospital PLZ Ste 110
Old Bridge, NJ 08857-3153

Mailing address

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

Other practice location 1

501 Iron Bridge Rd Ste 5
Freehold, NJ 07728-5305
Phone (732) 780-7603

Other practice location 2

733 N Beers St Ste L6
Holmdel, NJ 07733-1513
Phone (732) 972-9000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210430000401 NJ Practitioner - Nurse Practitioner 6709295884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
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

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR16685200NJMDNurse Practitioner
26NJ01123800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
New Jersey Urology LLC CurrentSince Oct 11, 2021 Accepting new patients
Summit Medical Group, Inc Nurse Practitioner PastSince Oct 11, 2021 Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

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

501 Iron Bridge Rd
Ste 5
Freehold, NJ 07728
Phone (732) 780-7603

733 N Beers St
Ste L6
Holmdel, NJ 07733
Phone (732) 739-2200

2 Hospital Plz
Ste 110
Old Bridge, NJ 08857
Phone (732) 972-9000

Organizations & group practices 4

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 5

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1952996464",
    "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",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL PLZ STE 110",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573153",
            "telephone_number": "732-972-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Iron Bridge Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077285305",
            "country_code": "US",
            "telephone_number": "732-780-7603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "733 N Beers St Ste L6",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077331513",
            "country_code": "US",
            "telephone_number": "732-972-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBEL",
        "first_name": "CHRISTINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01123800",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NR16685200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.