Individual provider Active NPI

Roger Lerner

  • Dentist
  • East Brunswick, NJ
National Provider Identifier
1073937280
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI20470 Issued in NJ
Practice address
2 Auer CT
Suite a
East Brunswick, NJ 08816-5824
Phone
(732) 651-1818
Fax
(732) 651-9747
NPI assigned
Feb 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI20470 NJ Primary

Addresses

Primary practice location

2 Auer CT
Suite a
East Brunswick, NJ 08816-5824

Mailing address

2 Auer CT
Suite a
East Brunswick, NJ 08816-5824
Phone (732) 651-1818

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150424000912 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779809207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI20470NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Roger Lerner DMD LLC PastSince Mar 25, 2015 Accepting new patients

Organizations & group practices 1

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": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1073937280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AUER CT",
            "address_2": "SUITE A",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165824",
            "telephone_number": "732-651-1818",
            "fax_number": "732-651-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AUER CT",
            "address_2": "SUITE A",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165824",
            "telephone_number": "732-651-1818",
            "fax_number": "732-651-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "ROGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI20470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.