Individual provider Active NPI

Ferne R Lavine, MD

  • Otolaryngology Physician
  • Edison, NJ
National Provider Identifier
1043319155
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
37420 Issued in NJ
Practice address
2177 Oak Tree Rd Ste 208
Edison, NJ 08820-1082
Phone
(732) 205-1311
Fax
(732) 205-9648
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 37420 NJ Primary

Addresses

Primary practice location

2177 Oak Tree Rd Ste 208
Edison, NJ 08820-1082

Mailing address

10 Goodale Cir
New Brunswick, NJ 08901-1608
Phone (732) 545-4030

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
I20111216000378 NJ Practitioner - Otolaryngology 5092980268 Reassigns benefits to 1 organization
Practice locations: North Brunswick, NJ

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rutgers New Jersey Medical School, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2124 Oak Tree Rd
Edison, NJ 08820-1089
Phone (732) 205-1311

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37420NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose and Throat Group of Central New Jersey Otolaryngology CurrentSince Oct 20, 2018 Accepting new patients
Leon Horlick DDS PD Martin Nagel DDS Past Accepting new patients

Locations

2124 Oak Tree Rd
Edison, NJ 08820
Phone (201) 613-3327

2124 Oak Tree Rd
Fl 2
Edison, NJ 08820
Phone (732) 205-1311

Interoperability endpoints

  • Direct secure messaging: ferne.lavine.1@8568.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1043319155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GOODALE CIR",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011608",
            "telephone_number": "732-545-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 OAK TREE RD STE 208",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201082",
            "telephone_number": "732-205-1311",
            "fax_number": "732-205-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINE",
        "first_name": "FERNE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "37420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.