Eileen Krahling, APN
Individual provider Active NPI Family Nurse Practitioner · Ledgewood, NJ
NPI 1760134597 · NPPES record last updated Jan 31, 2022
Key facts
- NPI
- 1760134597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ01260600 (NJ)
- Practice address
- 1105 Route 46
Ledgewood, NJ 07852-9748 - Phone
- (973) 927-4662
- NPI assigned
- Jan 23, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.41 of 100
- Quality
- 77.71
- Improvement activities
- 40
- Cost
- 82.25
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220315001767 | NJ | Practitioner - Nurse Practitioner | 8628463486 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01260600 | NJ | MD | Integrative Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cunico Enterprises, Inc. | Family | Current |
Accepting new patients |
| North Jersey Integrated Medical PC | Family | Past | Accepting new patients |
Locations
12 Lawrence Rd
Ste 201
Newton, NJ 07860
Phone (973) 948-7595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01260600 | NJ | Yes |
Addresses
Primary practice location
1105 Route 46
Ledgewood, NJ 07852-9748
Mailing address
945 Plymouth Lake Dr
Newton, NJ 07860-4127
Phone (973) 948-4834
NPI Registry JSON
{
"created_epoch": "1642896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1760134597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 PLYMOUTH LAKE DR",
"city": "NEWTON",
"state": "NJ",
"postal_code": "078604127",
"telephone_number": "973-948-4834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 ROUTE 46",
"city": "LEDGEWOOD",
"state": "NJ",
"postal_code": "078529748",
"telephone_number": "973-927-4662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAHLING",
"first_name": "EILEEN",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-23",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01260600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ledgewood, NJ
- Glenda James
- Melany T Jimenez
- K&R Invalid Coach Services Inc
- Jonathan David Karnitsky
- Mariya Khalaboura
- Nicole Marie Lacherza-Drew
- Leonard J. Grossman. MD
- Wanda Ivette Lopez-Rodriguez
- Srinivas Maddali
- Shannon Barbara Maher
All providers in Ledgewood, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.