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MR. JACK JOSEPH CRISTIANO JR. PA-C
NPI 1356939409
Physician Assistant - Surgical in Fort Lauderdale, FL

Active since January 05, 2021PECOS EnrolledAccepts Medicare Assignment
1625 SE 3RD AVE STE 300, FORT LAUDERDALE, FL 33316(954) 355-4665(954) 355-4881 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2024, Mar 28, 2023, Sep 27, 2022 and 3 more (6 updates tracked since 2021).

About Mr. Jack Joseph Cristiano Jr. Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK JOSEPH CRISTIANO JR. PA-C (NPI 1356939409) is an individual surgical provider in Fort Lauderdale, Florida, licensed in Florida (9116364) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Cheyenne Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356939409
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JACK JOSEPH CRISTIANO JR.Credential: PA-C
Location Address1625 SE 3RD AVE STE 300Fort Lauderdale, FL 33316-2521
Mailing Address1700 Nw 49th St Ste 125Fort Lauderdale, FL 33309-3750 · (954) 355-4665 · Fax (954) 355-4881
Phone(954) 355-4665
Fax(954) 355-4881
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 5, 2021
Last NPPES UpdateApril 3, 20246 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1356939409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · 9116364
1625 SE 3RD AVE STE 300, Fort Lauderdale, FL 33316
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jack Joseph Cristiano Jr. Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739555657
PECOS Enrollment IDI20250303000085
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cheyenne Regional Medical Center

Acute Care Hospitals · Cheyenne, WY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number530014
Location214 East 23rd StreetCheyenne, WY 82001 · Laramie County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENESIS ELIZABETH ANGULO-JUAN APRN
Nurse Practitioner (Acute Care)
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4665
MICHAEL BOLANOS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4665
ALAN L NIEDERMAN MD
Internal Medicine (Interventional Cardiology)
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-5001
VIOLETA ATANASOSKI MCCORMACK MD
Internal Medicine (Interventional Cardiology)
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4665
DR. ALEXANDER G JUSTICZ MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4665
BEATRIZ A. LIBOS PA-C
Physician Assistant (Medical)
1625 SE 3RD AVE STE 300
FT LAUDERDALE, FL 33316
Broward County (954) 355-4665
BRET LESLIE SHARF PA-C
Physician Assistant
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-5001
ARNOUX BLANCHARD M.D
Internal Medicine (Cardiovascular Disease)
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Cristiano's NPI number?

The NPI number for Jack Cristiano is 1356939409. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Jack Cristiano located?

Jack Cristiano practices at 1625 SE 3rd Ave Ste 300, Fort Lauderdale, FL 33316. The listed phone number is (954) 355-4665.

What is Jack Cristiano's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jack Cristiano enrolled in Medicare?

Yes. Jack Cristiano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jack Cristiano accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica and UnitedHealthcare list Jack Cristiano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jack Cristiano affiliated with any hospitals?

According to CMS data, Jack Cristiano is affiliated with Cheyenne Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jack Cristiano was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.