Individual provider Active NPI

Jill H. Kingsly, MD

  • Diagnostic Radiology Physician
  • West Orange, NJ
National Provider Identifier
1992732937
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA05568800 Issued in NJ
Practice address
772 Northfield Ave
West Orange, NJ 07052-1100
Phone
(973) 325-0002
Fax
(973) 376-6447
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA05568800 NJ Primary

Addresses

Primary practice location

772 Northfield Ave
West Orange, NJ 07052-1100

Mailing address

24 Slayton Dr
Short Hills, NJ 07078-1537
Phone (201) 306-6346

Other identifiers 1

IdentifierTypeStateIssuer
0000191MedicaidNJ

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
I20040426001174 NJ Practitioner - Diagnostic Radiology 5193719987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The New Jersey Imaging Network, LLCGroup PAC ID 2860633492, 68 clinicians

Practice addresses (Care Compare)

17 White Horse Pike
Haddon Heights, NJ 08035-1299
Phone (856) 546-1177

Merit-based Incentive Payment System (MIPS)

Final score
75.64 of 100Reported as group
Quality
55.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05568800NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The New Jersey Imaging Network, LLC CurrentSince Oct 1, 2015 Accepting new patients
Pueblo Medical Imaging, LLC Diagnostic Radiology PastSince Dec 16, 1998 Accepting new patients
Montclair Radiological Assoc ,PA Diagnostic Radiology Past Accepting new patients
J Paul Wiesner & Associates Chartered Diagnostic Radiology PastSince Nov 3, 2019 Accepting new patients
Edison Imaging Associates, PA Past Accepting new patients
Edison Radiology Group PA JFK Medical Center Diagnostic Radiology PastSince May 9, 2021 Accepting new patients
Yonkers Imaging PC Diagnostic Radiology Past Accepting new patients
Imaging Consultants of Essex, P.a. Diagnostic Radiology Past Accepting new patients

Locations

27695 Network Pl
Chicago, IL 60673

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

25 S Union Ave
Cranford, NJ 07016
Phone (908) 577-5500

10 Parsonage Rd
Ste 105
Edison, NJ 08837
Phone (732) 473-6515

10 Parsonage Rd
Ste 500
Edison, NJ 08837
Phone (732) 494-6226

17 White Horse Pike
Ste 9
Haddon Hgts, NJ 08035
Phone (856) 546-1177

20 High St
Nutley, NJ 07110
Phone (973) 281-1881

69 Orient Way
Rutherford, NJ 07070
Phone (201) 559-4140

157 Fries Mill Rd
Turnersville, NJ 08012
Phone (856) 677-1010

772 Northfield Ave
West Orange, NJ 07052
Phone (973) 325-0002

769 Northfield Ave
Ste LL20
West Orange, NJ 07052
Phone (973) 669-9595

Organizations & group practices 8

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1992732937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SLAYTON DR",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781537",
            "telephone_number": "201-306-6346",
            "fax_number": "973-376-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521100",
            "telephone_number": "973-325-0002",
            "fax_number": "973-376-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLY",
        "first_name": "JILL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA05568800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000191",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.