Active NPIIndividual provider

Christopher Medina, MD

Psychiatry & Neurology, Neurology in Orange, New Jersey

NPI Number1639707169
Practice location
523 Park Ave, Orange, NJ 07050-1703
Fax
—
Last updated
December 2, 2024

Christopher Medina is a Psychiatry & Neurology, Neurology based in Orange, NJ. Christopher Medina practices in Orange, NJ and has the professional credentials of MD. The NPI Number for Christopher Medina is 1639707169 and holds a License No. 25MA12450900 (NJ). The current practice location address for Christopher Medina is 523 Park Ave, Orange, NJ 07050-1703 and can be reached out via phone at 973-672-8573.

Provider Profile Details

NPI Number
1639707169
Provider Name
Christopher Medina
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
523 Park Ave, Orange, NJ 07050-1703
Phone Number
973-672-8573
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
No
Provider Enumeration Date
March 30, 2020
Last Update Date
December 2, 2024
Certification Date
December 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
523 Park Ave
Orange, NJ 07050-1703
City
Orange
Zip
07050-1703
Phone Number
973-672-8573
Orange, NJ 07050Get directions →

Provider Business Mailing Address Details

Address
523 Park Ave
Orange, NJ 07050-1703
City
Orange
State
NJ
Zip
07050-1703
Phone Number
973-672-8573

License Information

License Number
25MA12450900
License State
NJ
Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Christopher Medina, MD?

The NPI number of Christopher Medina, MD is 1639707169. It was assigned on March 30, 2020 and is currently active in the NPPES registry.

What is the specialty of Christopher Medina, MD?

Christopher Medina, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in NJ under license number 25MA12450900.

Where does Christopher Medina, MD practice?

The practice location is 523 Park Ave, Orange, NJ 07050-1703. The office can be reached at 973-672-8573 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639707169 directly on the NPPES registry website.

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