Active NPI
Jacqueline Lee Ingram, AU.D.
- Audiologist
- Tinton Falls, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00105300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Medicine Alliance PA | Audiologist | Current | Accepting new patients |
| Gabriela M Yurkanin DPM PC | Past | Accepting new patients | |
| Joy Armillay, Ed.D., R.D., LDN | Past | Accepting new patients | |
| Ima Urgent Care | Past | 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
- https://api.platform.athenahealth.com/18643/brand/1/csg/1/fhir/r4
- 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.
-
- Internal Medicine Physician
- Shrewsbury, NJ
- NPI 1649252776
Audiologist
-
- Urgent Care Clinic/Center
- Shrewsbury, NJ
- NPI 1427432244
-
- Foot & Ankle Surgery Podiatrist
- Plains, PA
- NPI 1528533163
-
- Registered Dietitian
- Kingston, PA
- NPI 1538253984
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.