Active NPI
John F Kerns, MD
- Urology Physician
- Englewood, NJ
National Provider Identifier
1083796403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25MA03873000
- Practice address
- 177 N Dean St
Englewood, NJ 07631-2533 - Phone
- (201) 569-7777
- Fax
- (210) 569-6861
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 25MA03873000 | NJ | Primary |
Addresses
Primary practice location
177 N Dean St
Englewood, NJ 07631-2533
Mailing address
177 N Dean St
Englewood, NJ 07631-2533
Phone (201) 569-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Specialty Care PA | Past | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1083796403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 N DEAN ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312533",
"telephone_number": "201-569-7777",
"fax_number": "210-569-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 N DEAN ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312533",
"telephone_number": "201-569-7777",
"fax_number": "210-569-6861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNS",
"first_name": "JOHN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "25MA03873000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.