NPIMap

Organization Active NPI

Kerzner Associates PC

  • Clinical Social Worker
  • Foxboro, MA
National Provider Identifier
1003912049
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KERZNER ASSOCIATES PC
Practice address
17 Cocasset St
Foxboro, MA 02035
Phone
(508) 543-2133
Fax
(508) 543-2133
NPI assigned
Sep 16, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Jack J Kerzner, EDDNPI 1841393725
Title
Director
Phone
(508) 543-2133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

17 Cocasset St
Foxboro, MA 02035

Mailing address

17 Cocasset St
Foxboro, MA 02035
Phone (508) 543-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070501000031 MA Part B Supplier - Clinic/Group Practice 7012957541 Receives reassigned benefits from 15 practitioners
Practice locations: Foxboro, MA

National Provider Directory

National Provider Directory

Locations

30 Mechanic St
Foxborough, MA 02035
Phone (508) 543-2133

30 Mechanic St
Ste 2
Foxborough, MA 02035
Phone (508) 543-2133

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003912049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 COCASSET ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "02035",
            "telephone_number": "508-543-2133",
            "fax_number": "508-543-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 COCASSET ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "02035",
            "telephone_number": "508-543-2133",
            "fax_number": "508-543-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERZNER ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KERZNER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-543-2133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.