Active NPI
Lindsay Anne Van Pelt, MD
- Emergency Medicine Physician
- Pompton Plains, NJ
National Provider Identifier
1689962250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA09451800
- Practice address
- 97 West Parkway
Pompton Plains, NJ 07444 - Phone
- (973) 831-5000
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA09451800 | NJ | Primary |
Addresses
Primary practice location
97 West Parkway
Pompton Plains, NJ 07444
Mailing address
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-7926
Other practice location 1
4200 Regent St Ste 200
Columbus, OH 43219-6229
Phone (877) 581-2210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0435139 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 72.07 of 100
- Quality
- 55.21
- Improvement activities
- 40
- Cost
- 67.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09451800 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Associates of North Jersey P C | Multi-Specialty | Current | Accepting new patients |
Locations
97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
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.
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1689962250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MADISON AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606136",
"telephone_number": "973-971-7926",
"fax_number": "973-290-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 WEST PARKWAY",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "07444",
"telephone_number": "973-831-5000"
}
],
"practiceLocations": [
{
"address_1": "4200 Regent St Ste 200",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432196229",
"country_code": "US",
"telephone_number": "877-581-2210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN PELT",
"first_name": "LINDSAY",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA09451800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0435139",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pompton Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.