Active NPI
Keith Jay Lerner, MD
- Geriatric Medicine (Internal Medicine) Physician
- Lauderdale Lakes, FL
National Provider Identifier
1124091202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- ME 0050779
- Practice address
- 4850 W Oakland PK Blvd
Suite 209
Lauderdale Lakes, FL 33313-7261 - Phone
- (954) 484-4440
- Fax
- (954) 484-9250
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ME 0050779 | FL | Primary |
Addresses
Primary practice location
4850 W Oakland PK Blvd
Suite 209
Lauderdale Lakes, FL 33313-7261
Mailing address
4850 W Oakland PK Blvd
Suite 209
Lauderdale Lakes, FL 33313-7261
Phone (954) 484-4440
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 0050779 | FL | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1124091202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 W OAKLAND PK BLVD",
"address_2": "SUITE 209",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333137261",
"telephone_number": "954-484-4440",
"fax_number": "954-484-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 W OAKLAND PK BLVD",
"address_2": "SUITE 209",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333137261",
"telephone_number": "954-484-4440",
"fax_number": "954-484-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERNER",
"first_name": "KEITH",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME 0050779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.