MS. CRISTINA R TAVAREZ (MS, PA-C) – Physician Assistant, NPI 1811278906

MS. CRISTINA R TAVAREZ (MS, PA-C) is a healthcare provider. based in Newark, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MS, PA-C. They hold a License No. 25MP00265700 (NJ). The NPI Number for MS. CRISTINA R TAVAREZ (MS, PA-C) is 1811278906

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. CRISTINA R TAVAREZ (MS, PA-C)
NPI
1811278906
Phone
(973) 483-3640
Address
465 MOUNT PROSPECT AVE
Enumeration Date
1 September 2011
Last Update Date
4 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2012228411
Graduation Year
2011 (15 years ago)
PAC ID
0648402842
Group Practice PAC ID
9739236779
Professional Enrollment ID
I20140422000325
Address ID
NJ070302440HO309XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for MS. CRISTINA R TAVAREZ (MS, PA-C)

  • 465 MOUNT PROSPECT AVE

    NEWARK, NJ 071042907

    Phone: (973) 483-3640

    Fax: (973) 483-4895

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $4,830.

Total Amount is formed as General ($4,830) + Research ($0) + Ownership ($0) = $4,830.

Last reported payment date: 2024-11-23 • Largest payer in this snapshot: ABBVIE INC. ($4,800).

Total Amount

$4,830

General + Research + Ownership

Payments

3

Total payment records

General Amount

$4,830

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140422000325IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus6362$0
99213Established patient office or other outpatient visit, 20-29 minutes5753$0
99214Established patient office or other outpatient visit, 30-39 minutes5353$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
87804Detection test by immunoassay with direct visual observation for influenza virus3517$0
View full utilization report →

Insurance plans in this area (ZIP 07104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739236779View full group profile
NameSpecialtyState
Physician AssistantNY
Emergency MedicineNY
Family PracticeNJ
Physician AssistantNY
Physician AssistantNJ
-NJ

Reviews

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Frequently asked questions

Does MS. CRISTINA R TAVAREZ (MS, PA-C) have a public NPI I can cite?
Public records show MS. CRISTINA R TAVAREZ (MS, PA-C) under NPI 1811278906.
Is MS. CRISTINA R TAVAREZ (MS, PA-C)'s NPI status active today?
Active status means MS. CRISTINA R TAVAREZ (MS, PA-C)'s NPI record is not deactivated in the public file.
What does the directory say MS. CRISTINA R TAVAREZ (MS, PA-C) does?
Insurance directories may phrase it differently, but here MS. CRISTINA R TAVAREZ (MS, PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MS. CRISTINA R TAVAREZ (MS, PA-C)?
The directory associates MS. CRISTINA R TAVAREZ (MS, PA-C) with Newark, New Jersey. Check all listed addresses for suites or satellite offices.
Why is information missing for MS. CRISTINA R TAVAREZ (MS, PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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