Provider Demographics
NPI:1497854582
Name:CRISTINI, JOHN A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:CRISTINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:401 NEW RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1200
Mailing Address - Country:US
Mailing Address - Phone:609-926-7400
Mailing Address - Fax:609-926-9518
Practice Address - Street 1:401 NEW RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1200
Practice Address - Country:US
Practice Address - Phone:609-926-7400
Practice Address - Fax:609-926-9518
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA2546800207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223830220OtherTAX ID NUMBER
NJ109513SSLMedicare PIN
NJD98843Medicare UPIN
NJ4621330001Medicare NSC