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CHRISTIAN JOSE PLAZA FNP
NPI 1477039733
Nurse Practitioner - Family in Newburgh, NY

Active since July 19, 2018PECOS EnrolledAccepts Medicare Assignment
407 GIDNEY AVE STE B, NEWBURGH, NY 12550(845) 561-7075(845) 561-7006 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2023, Jan 17, 2023, Jul 19, 2018 (3 updates tracked since 2018).

About Christian Jose Plaza Fnp NPPES

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

CHRISTIAN JOSE PLAZA FNP (NPI 1477039733) is an individual family provider in Newburgh, New York, licensed in New York (343284) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with St Luke's Cornwall Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477039733
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHRISTIAN JOSE PLAZACredential: FNP
Location Address407 GIDNEY AVE STE BNewburgh, NY 12550-3741
Mailing Address407 Gidney Ave Ste BNewburgh, NY 12550-3741 · (845) 561-7075 · Fax (845) 561-7006
Phone(845) 561-7075
Fax(845) 561-7006
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 19, 2018
Last NPPES UpdateOctober 19, 20233 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
✔ NPI 1477039733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 343284
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License F405130 (NY)
407 GIDNEY AVE STE B, Newburgh, NY 12550
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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

Christian Jose Plaza Fnp 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 ID9830408772
PECOS Enrollment IDI20190502001814
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.

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Christian Plaza's NPI number?

The NPI number for Christian Plaza is 1477039733. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Where is Christian Plaza located?

Christian Plaza practices at 407 Gidney Ave Ste B, Newburgh, NY 12550. The listed phone number is (845) 561-7075.

What is Christian Plaza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Christian Plaza enrolled in Medicare?

Yes. Christian Plaza 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.

Is Christian Plaza affiliated with any hospitals?

According to CMS data, Christian Plaza is affiliated with St Luke's Cornwall Hospital.

When was this NPI record last updated?

The NPPES record for Christian Plaza was last updated on October 19, 2023. 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.