NPIMap

Organization Active NPI

Karen Ann Quinlan Memorial Foundation

Doing business as Quinlan Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Newton, NJ
National Provider Identifier
1699402123
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
KAREN ANN QUINLAN MEMORIAL FOUNDATION
Doing business as
Quinlan Palliative Care
Practice address
99 Sparta Ave
Newton, NJ 07860-2614
Phone
(973) 888-9100
Fax
(973) 383-4739
NPI assigned
Aug 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Marlina R Schetting
Title
Manager
Phone
(973) 383-0115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

99 Sparta Ave
Newton, NJ 07860-2614

Mailing address

99 Sparta Ave
Newton, NJ 07860-2614
Phone (973) 888-9100

Other names 1

  • Quinlan Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230928002146 NJ Part B Supplier - Clinic/Group Practice 5294742490 Receives reassigned benefits from 4 practitioners
Practice locations: Newton, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Karen Ann Quinlan Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

99 Sparta Ave
Newton, NJ 07860
Phone (973) 383-0115

200 3rd St
Milford, PA 18337
Phone (570) 296-4889

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1699402123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 SPARTA AVE",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602614",
            "telephone_number": "973-888-9100",
            "fax_number": "973-383-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SPARTA AVE",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602614",
            "telephone_number": "973-888-9100",
            "fax_number": "973-383-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN ANN QUINLAN MEMORIAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "SCHETTING",
        "authorized_official_first_name": "MARLINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-383-0115"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quinlan Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.