Individual provider Active NPI

Seth Perry Lerner, M.D.

  • Dermatology Physician
  • Trumbull, CT
National Provider Identifier
1174548838
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
027384 Issued in CT
Practice address
160 Hawley LN
Suite 104
Trumbull, CT 06611-5300
Phone
(203) 377-0639
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 027384 CT Primary

Addresses

Primary practice location

160 Hawley LN
Suite 104
Trumbull, CT 06611-5300

Mailing address

160 Hawley LN
Suite 104
Trumbull, CT 06611-5300
Phone (203) 377-0639

Other identifiers 1

IdentifierTypeStateIssuer
070003581OtherCTMEDICARE RAILROAD

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100624000046 CT Practitioner - Dermatology 1557422250 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027384CTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adult & Pediatric Dermatology Specialists, P.C. Dermatology CurrentSince Oct 10, 1986 Accepting new patients
Adult & Pediatric Dermatology Specialists, P.C. Dermatology CurrentSince Oct 10, 1986 Accepting new patients

Locations

160 Hawley Ln
Ste 104
Trumbull, CT 06611
Phone (203) 377-0639

160 Hawley Ln
Trumbull, CT 06611
Phone (203) 375-3456

162 Kings Hwy N
Westport, CT 06880
Phone (203) 222-0198

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1174548838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LN",
            "address_2": "SUITE 104",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115300",
            "telephone_number": "203-377-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LN",
            "address_2": "SUITE 104",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115300",
            "telephone_number": "203-377-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "SETH",
        "middle_name": "PERRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "027384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "070003581",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.