Individual provider Active NPI

Kent S Lerner, MD

  • Orthopaedic Surgery Physician
  • No Arlington, NJ
National Provider Identifier
1184821910
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MA36962 Issued in NJ
Practice address
17 Jauncey Avenue
No Arlington, NJ 07031
Phone
(201) 991-9019
Fax
(201) 991-0931
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MA36962 NJ Primary

Addresses

Primary practice location

17 Jauncey Avenue
No Arlington, NJ 07031

Mailing address

17 Jauncey Avenue
No Arlington, NJ 07031
Phone (201) 991-9019

Other identifiers 1

IdentifierTypeStateIssuer
1961501MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050121000005 NJ Practitioner - Orthopedic Surgery 2163471830

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA36962NJMDOrthopaedic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: kent.lerner@metropolitanorthopaedicsllc.chartmakerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1184821910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 JAUNCEY AVENUE",
            "city": "NO ARLINGTON",
            "state": "NJ",
            "postal_code": "07031",
            "telephone_number": "201-991-9019",
            "fax_number": "201-991-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 JAUNCEY AVENUE",
            "city": "NO ARLINGTON",
            "state": "NJ",
            "postal_code": "07031",
            "telephone_number": "201-991-9019",
            "fax_number": "201-991-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "KENT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA36962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1961501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in No Arlington, NJ

Sources for this page

Verify at the official NPI Registry.