Provider Demographics
NPI:1710378153
Name:CHONKO, CRISTINA SOFIA (NP)
Entity type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:SOFIA
Last Name:CHONKO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:CRISTINA
Other - Middle Name:SOFIA
Other - Last Name:ALMEIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:727 NORTH BEERS STREET
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733
Mailing Address - Country:US
Mailing Address - Phone:732-497-1836
Mailing Address - Fax:848-245-8414
Practice Address - Street 1:727 NORTH BEERS STREET
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733
Practice Address - Country:US
Practice Address - Phone:732-497-1836
Practice Address - Fax:848-245-8414
Is Sole Proprietor?:No
Enumeration Date:2015-02-06
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00538900364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NL00538900OtherAPN ADULT GERONTOLOGY DISTRESS