Carl M Ingrassia, DPM

Individual provider Active NPI Podiatrist · Fords, NJ

NPI 1295839561 · NPPES record last updated Oct 24, 2007

Key facts

NPI
1295839561
Entity type
Individual (NPI type 1)
Primary specialty
Podiatrist 213E00000X
License
25MD00215200 (NJ)
Practice address
519 New Brunswick Ave
Fords, NJ 08863-2131
Phone
(732) 738-4441
Fax
(732) 738-8554
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

519 New Brunswick Ave
Fords, NJ 08863-2131
Phone (732) 738-4441

Merit-based Incentive Payment System (MIPS)

Final score
88.51 of 100 (individual)
Quality
77.01
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue74
Removal of skin lesions49
Removal of nail tissue852

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070828000267 NJ Practitioner - Podiatry 7416049002 Practice locations: Fords, NJ

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
25MD00215200NJMDPodiatrist
N0049741NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carl M. Ingrassia Podiatrist Current
since Dec 26, 2001
Accepting new patients

Locations

519 New Brunswick Ave
Fords, NJ 08863
Phone (732) 734-4441

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00215200 NJ Yes
Podiatrist 213E00000X N0049741 NY

Addresses

Primary practice location

519 New Brunswick Ave
Fords, NJ 08863-2131

Mailing address

519 New Brunswick Ave
Fords, NJ 08863-2131
Phone (732) 738-4441

Other identifiers

IdentifierTypeStateIssuer
6192505MedicaidNJ

Other providers in Fords, NJ

All providers in Fords, NJ · Podiatrist in New Jersey

Sources for this page

Verify at the official NPI Registry.