Individual provider Active NPI

Mina Yassaee Kingsbery, MD

  • Dermatology Physician
  • Parsippany, NJ
National Provider Identifier
1760719967
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA09262600 Issued in NJ
Practice address
199 Baldwin Rd
Suite 230
Parsippany, NJ 07054-2043
Phone
(973) 335-2560
Fax
(973) 335-9421
NPI assigned
Nov 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 260007 NY
Dermatology Physician 207N00000X 25MA09262600 NJ Primary

Addresses

Primary practice location

199 Baldwin Rd
Suite 230
Parsippany, NJ 07054-2043

Mailing address

199 Baldwin Rd
Suite 230
Parsippany, NJ 07054-2043
Phone (973) 335-2560

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000085 NJ Practitioner - Dermatology 5193967651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Morris P.a.Group PAC ID 5698761997, 7 clinicians

Practice addresses (Care Compare)

199 Baldwin Rd
Suite 230
Parsippany, NJ 07054-2043
Phone (973) 335-2560

Merit-based Incentive Payment System (MIPS)

Final score
78.13 of 100Reported as group
Quality
66.33
Improvement activities
40
Cost
71.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions408
Removal or shaving of skin growth1-10
Skin biopsy165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Morris P.a. CurrentSince Jun 5, 2013 Accepting new patients

Locations

199 Baldwin Rd
Ste 230
Parsippany, NJ 07054
Phone (201) 335-2560

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.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1760719967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 BALDWIN RD",
            "address_2": "SUITE 230",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542043",
            "telephone_number": "973-335-2560",
            "fax_number": "973-335-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 BALDWIN RD",
            "address_2": "SUITE 230",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542043",
            "telephone_number": "973-335-2560",
            "fax_number": "973-335-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSBERY",
        "first_name": "MINA",
        "middle_name": "YASSAEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "260007",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA09262600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.