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

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100 (group)
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 IDStateProvider typePAC IDDetails
I20220315001767 NJ Practitioner - Nurse Practitioner 8628463486 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01260600NJMDIntegrative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cunico Enterprises, Inc. Family Current
since Dec 2, 2022
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 31, 2022.

{
    "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

All providers in Ledgewood, NJ · Family Nurse Practitioner in New Jersey

Sources for this page

Verify at the official NPI Registry.