Active NPI
Jill H. Kingsly, MD
- Diagnostic Radiology Physician
- West Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA05568800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000191 | Medicaid | NJ |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05568800 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New Jersey Imaging Network, LLC | Current | Accepting new patients | |
| Pueblo Medical Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Montclair Radiological Assoc ,PA | Diagnostic Radiology | Past | Accepting new patients |
| J Paul Wiesner & Associates Chartered | Diagnostic Radiology | Past | Accepting new patients |
| Edison Imaging Associates, PA | Past | Accepting new patients | |
| Edison Radiology Group PA JFK Medical Center | Diagnostic Radiology | Past | 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.
-
- Radiology Clinic/Center
- Cedar Knolls, NJ
- NPI 1629327887
-
- Specialist
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- NPI 1790811016
-
- Diagnostic Radiology Physician
- Edison, NJ
- NPI 1417013731
-
- Diagnostic Radiology Physician
- Livingston, NJ
- NPI 1538196027
-
- Diagnostic Radiology Physician
- Nutley, NJ
- NPI 1194810531
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1487606026
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1952353591
-
- Diagnostic Radiology Physician
- Yonkers, NY
- NPI 1023002201
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.