Ingrid Brown, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C5-0011726 Issued in DE

Practice address

622 Stokes Rd Ste a
Medford, NJ 08055-2913

Phone

(609) 953-0908

NPI assigned

Apr 2, 2020

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ibrown@accentderm.emadirect.md

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.

• David A High, MD

  • Dermatology Physician
  • Medford, NJ
  • NPI 1972554400
  Medicare reassignment
• Einstein Practice Plan Inc

  dba Einstein Psychiatry Assoc

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1760434468
  Medicare reassignment
• Einstein Practice Plan Inc

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1457047433
  NPD
• David a. High

  dba Accent Dermatology

  • Specialist
  • Medford, NJ
  • NPI 1750495990
  NPD (past)
• Einstein Practice Plan Inc

  dba Einstein Internal Medicine Associates

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1801853288
  NPD (past)
• Fanny J Berg M.D.,P.a.

  • Specialist
  • Wilmington, DE
  • NPI 1457689796
  NPD (past)
• Pennsylvania Dermatology Partners Inc

  • Dermatology Physician
  • West Lawn, PA
  • NPI 1023382918
  NPD (past)

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1710516877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 QUARRY ST UNIT 2C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062007",
            "telephone_number": "215-720-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 STOKES RD STE A",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552913",
            "telephone_number": "609-953-0908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413098",
            "country_code": "US",
            "telephone_number": "215-456-7890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Township Line Rd",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190272220",
            "country_code": "US",
            "telephone_number": "215-663-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "559 W Germantown Pike",
            "address_purpose": "LOCATION",
            "city": "East Norriton",
            "state": "PA",
            "postal_code": "194034250",
            "country_code": "US",
            "telephone_number": "484-622-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Foulk Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198103642",
            "country_code": "US",
            "telephone_number": "302-475-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "INGRID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061479",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061479",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C5-0011726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ibrown@accentderm.emadirect.md",
            "affiliation": "N",
            "address_1": "622 Stokes Rd Ste A",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080552913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Brash - McGreer, R.N., MFT, MED,
• Breakthru Physical Therapy LLC
• Taylor Broderick
• Karen Ann Brook, LCSW
• Alexa Rae Brown, DPT
• Theresa Brown
• Lois E Browning, DMD
• Ethan Brudno, LPC
• Giana Brunetti, PA-C
• Jennifer L Buccigrossi, MD

• Medical Physician Assistant in Medford, NJ
• Providers in Medford, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.

Verify at the official NPI Registry.