NPIMap

Individual provider Active NPI

Angela Inzerillo, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Princeton, NJ
National Provider Identifier
1346300852
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA6747300 Issued in NJ
Practice address
166 Bunn Dr
Ste 109
Princeton, NJ 08540-2800
Phone
(609) 921-1511
Fax
(609) 921-3316
NPI assigned
Dec 12, 2006
Last updated
Feb 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA6747300 NJ Primary

Addresses

Primary practice location

166 Bunn Dr
Ste 109
Princeton, NJ 08540-2800

Mailing address

166 Bunn Dr
Ste 109
Princeton, NJ 08540-2800
Phone (609) 921-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427001218 NJ Practitioner - Internal Medicine 9830182310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Princeton Endocrinology Associates LLCGroup PAC ID 4688730922, 2 clinicians

Practice addresses (Care Compare)

10 Forrestal Rd S
Suite 202
Princeton, NJ 08540-6666
Phone (609) 921-1511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.15 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
196924NYMDHome Health Registered Nurse
25MA6747300NJMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrenceville Neurology Center, P.a. CurrentSince Aug 3, 2020 Accepting new patients
Princeton Endocrinology Associates, LLC CurrentSince Oct 1, 2010 Accepting new patients
Summit Medical Group PA Past Accepting new patients
Endocrinology Associates, LLC Endocrinology, Diabetes & Metabolism Past Accepting new patients
Hospitalists Emo, LLC Past Accepting new patients
RWJ Hamilton Diabetes & Endocrinology Group PA Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

10 Forrestal Rd S
Ste 106
Princeton, NJ 08540
Phone (609) 853-6555

10 Forrestal Rd S
Ste 202
Princeton, NJ 08540
Phone (609) 896-1701

166 Bunn Dr
Ste 109
Princeton, NJ 08540
Phone (609) 921-1511

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1346300852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BUNN DR",
            "address_2": "STE 109",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402800",
            "telephone_number": "609-921-1511",
            "fax_number": "609-921-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BUNN DR",
            "address_2": "STE 109",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402800",
            "telephone_number": "609-921-1511",
            "fax_number": "609-921-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INZERILLO",
        "first_name": "ANGELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA6747300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.