Pascale Kerlegrand, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA07371300 Issued in NJ

Practice address

198 Bloomfield Ave Apt 410
Bloomfield, NJ 07003-5781

Phone

(917) 603-0070

Fax

(973) 338-0046

NPI assigned

Mar 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144344094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 BLOOMFIELD AVE APT 410",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035781",
            "telephone_number": "917-603-0070",
            "fax_number": "973-338-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 BLOOMFIELD AVE APT 410",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035781",
            "telephone_number": "917-603-0070",
            "fax_number": "973-338-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERLEGRAND",
        "first_name": "PASCALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "196627",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07371300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01872848",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255564",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Kaplan, DDS
• Marilyn Kaplan, LCSW
• Theodore Andrew Kastner, M.D.,M.S.
• Anthony Hughes Kearney, LCSW
• John Kelly, MD
• Carolyn Kerr, IBCLC
• Muntasir Khaled, DPM
• Vishal Khatri, MD
• Julie Thomas Kidangan, DO
• Kidney Hypertension Center ,LLC

• Family Medicine Physician in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.