KEALA LANDRY
NPI 1639263411
Emergency Medicine in Jersey City, NJ
About Keala Landry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEALA LANDRY (NPI 1639263411) is an individual emergency medicine provider in Jersey City, New Jersey, licensed in New Jersey (25MA07788400) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Keala Landry is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Keala Landry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berkeley, CA 94705
- Reassigned Medicare billing, California enrollment
- 54 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JERSEY CITY, NJ 07302
JERSEY CITY, NJ 07302
JERSEY CITY, NJ 07302
JERSEY CITY, NJ 07302
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keala Landry's NPI number?
The NPI number for Keala Landry is 1639263411. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Keala Landry located?
Keala Landry practices at 355 Grand St, Jersey City, NJ 07302. The listed phone number is (201) 915-2218.
What is Keala Landry's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Keala Landry enrolled in Medicare?
Yes. Keala Landry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Keala Landry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keala Landry reassigns Medicare benefits to Berkeley Emergency Medical Group, Inc. (Berkeley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keala Landry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keala Landry was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Keala Landry · NPI 1639263411
Emergency Medicine physician in Jersey City, New Jersey. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1639263411 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 25MA07788400 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 355 GRAND ST, Jersey City, NJ 07302-4321
- **Phone:** (201) 915-2218
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Berkeley Emergency Medical Group, Inc. (NPI 1780692632, Berkeley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 2000
## Record status
- **NPPES last updated:** April 1, 2008
- **Other identifiers:** Medicare PIN 089869; Other P00204475; Medicare UPIN I27589
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Source: [NPI Profile](https://npiprofile.com/npi/1639263411) · Data from the CMS NPPES public registry.