Active NPI
Madison Scott Keppeler, PA-C
- Surgical Physician Assistant
- Westwood, NJ
National Provider Identifier
1134482722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 25MP00286200
- Practice address
- 260 Old Hook Rd Ste 304
Westwood, NJ 07675-3123 - Phone
- (201) 444-9522
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00286200 | NJ | |
| Surgical Physician Assistant | 363AS0400X | 25MP00286200 | NJ | Primary |
Addresses
Primary practice location
260 Old Hook Rd Ste 304
Westwood, NJ 07675-3123
Mailing address
200 Schulz Dr Ste 2
Red Bank, NJ 07701-6745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone (732) 333-8720
Hospital & facility affiliations
- Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00286200 | NJ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bergen Women'S Health and Wellness, LLC | Past | Accepting new patients | |
| The Woods O.R., Inc. | Past | Accepting new patients |
Interoperability endpoints
- mkeppeler531289@direct.ahsys.org
- mkeppeler1336020@ahs.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Red Bank, NJ
- NPI 1386613834
-
- Gynecology Physician
- Saddle River, NJ
- NPI 1467982827
-
- Ambulatory Surgical Clinic/Center
- Tinton Falls, NJ
- NPI 1952610768
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1134482722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SCHULZ DR STE 2",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077016745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 OLD HOOK RD STE 304",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076753123",
"telephone_number": "201-444-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPPELER",
"first_name": "MADISON",
"middle_name": "SCOTT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00286200",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00286200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.