NPIMap

Individual provider Active NPI

Keri Lynn Ingrassia-Squiers, DO

  • Internal Medicine Physician
  • Hackettstown, NJ
National Provider Identifier
1467465203
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB72580 Issued in NJ
Practice address
Hastings Square Plaza #5
Schooleys Mountain Road
Hackettstown, NJ 07840
Phone
(908) 979-0050
Fax
(908) 979-0044
NPI assigned
Aug 14, 2006
Last updated
Feb 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB72580 NJ Primary

Addresses

Primary practice location

Hastings Square Plaza #5
Schooleys Mountain Road
Hackettstown, NJ 07840

Mailing address

PO Box 95000 LB# 7550
Philadelphia, PA 19195-7550
Phone (844) 362-1735

Other names 1

  • Keri Lynn Ingrassia Former name

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
I20050531000601 NJ Practitioner - Internal Medicine 0244272268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Partners LLCGroup PAC ID 2860665809, 74 clinicians

Practice addresses (Care Compare)

475 S St
Morristown, NJ 07960-6459
Phone (973) 971-5000

5 Hastings Square Mall
Hackettstown, NJ 07840-4227
Phone (908) 979-0050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB72580NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC Internal Medicine Current Accepting new patients
Primary Care Partners, LLC Internal Medicine CurrentSince Nov 1, 2013 Accepting new patients

Locations

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

328A Sparta Ave
Sparta, NJ 07871
Phone (973) 729-2197

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1467465203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LB# 7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HASTINGS SQUARE PLAZA #5",
            "address_2": "SCHOOLEYS MOUNTAIN ROAD",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "07840",
            "telephone_number": "908-979-0050",
            "fax_number": "908-979-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRASSIA-SQUIERS",
        "first_name": "KERI",
        "middle_name": "LYNN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB72580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERI",
            "last_name": "INGRASSIA",
            "middle_name": "LYNN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.