Individual provider Active NPI

Jacqueline Lee Ingram, AU.D.

  • Audiologist
  • Tinton Falls, NJ
National Provider Identifier
1144875733
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00105300 Issued in NJ
Practice address
35 S Gilbert St
Tinton Falls, NJ 07701-4954
Phone
(732) 842-3050
Fax
(732) 530-0731
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00105300 NJ Primary

Addresses

Primary practice location

35 S Gilbert St
Tinton Falls, NJ 07701-4954

Mailing address

PO Box 8519
Red Bank, NJ 07701-8519
Phone (732) 460-9840

Other practice location 1

1145 Beacon Avenue
Manahawkin, NJ 08050
Phone (609) 597-7110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191113002286 NJ Practitioner - Qualified Audiologist 5193157121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medicine Alliance PAGroup PAC ID 2668468919, 41 clinicians

Practice addresses (Care Compare)

1026 Broad St
Unit 18
Shrewsbury, NJ 07702-4380
Phone (732) 460-9840

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medicine Alliance PA Audiologist CurrentSince May 5, 2025 Accepting new patients
Gabriela M Yurkanin DPM PC PastSince Mar 5, 2023 Accepting new patients
Joy Armillay, Ed.D., R.D., LDN Past Accepting new patients
Ima Urgent Care PastSince May 4, 2025 Accepting new patients

Locations

569 River Rd
Fair Haven, NJ 07704
Phone (732) 530-0100

3253 State Route 35
Hazlet, NJ 07730
Phone (732) 888-7646

100 Village Ct
Ste 302
Hazlet, NJ 07730
Phone (732) 758-0048

18 Leonardville Rd
New Monmouth, NJ 07748
Phone (732) 533-5124

363 State Route 36
Port Monmouth, NJ 07758
Phone (732) 471-0400

231 Maple Ave
Red Bank, NJ 07701
Phone (732) 530-1164

175 Patterson Ave
Shrewsbury, NJ 07702
Phone (732) 747-4600

1026 Broad St
Unit 18
Shrewsbury, NJ 07702
Phone (732) 460-9840

35 S Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-1515

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18643/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1144875733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8519",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077018519",
            "telephone_number": "732-460-9840",
            "fax_number": "732-460-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S GILBERT ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014954",
            "telephone_number": "732-842-3050",
            "fax_number": "732-530-0731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Beacon Avenue",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "08050",
            "country_code": "US",
            "telephone_number": "609-597-7110",
            "fax_number": "609-597-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "JACQUELINE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00105300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.