NPIMap

Organization Active NPI

Roy M Lerman MD PC

  • Physical Medicine & Rehabilitation Physician
  • King of Prussia, PA
National Provider Identifier
1215030812
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ROY M LERMAN MD PC
Practice address
700 S Henderson Rd
Ste 308C
King of Prussia, PA 19406
Phone
(610) 337-3111
Fax
(610) 337-3506
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Roy Michael Lerman, MDNPI 1588767180
Title
Medical Director
Phone
(610) 337-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

700 S Henderson Rd
Ste 308C
King of Prussia, PA 19406

Mailing address

700 S Henderson Rd
Ste 308C
King of Prussia, PA 19406
Phone (610) 337-3111

Other identifiers 3

IdentifierTypeStateIssuer
0065074000OtherPAKEYSTONE HPE
1078604OtherPAKEYSTONE MERCY
260646OtherPABCBS PERSONAL CHOICE

Other names 1

  • Main Line Spine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040721000642 PA Part B Supplier - Clinic/Group Practice 5890775878 Receives reassigned benefits from 14 practitioners
Practice locations: West Chester, PA; Newtown Square, PA; Bala Cynwyd, PA; King of Prussia, PA
O20250117002502 PA DME Supplier - Physician - Physical and Rehabilitation 5890775878 Practice locations: King of Prussia, PA

National Provider Directory

National Provider Directory

Locations

2 Bala Plz
Ste IL52
Bala Cynwyd, PA 19004
Phone (610) 337-3111

200 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 420-6220

700 S Henderson Rd
Ste 335
Kng of Prussa, PA 19406
Phone (610) 337-2828

1589 McDaniel Dr
West Chester, PA 19380
Phone (610) 337-3111

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1215030812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S HENDERSON RD",
            "address_2": "STE 308C",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "610-337-3111",
            "fax_number": "610-337-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S HENDERSON RD",
            "address_2": "STE 308C",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "610-337-3111",
            "fax_number": "610-337-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY M LERMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "LERMAN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-337-3111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HPE",
            "identifier": "0065074000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1078604",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PERSONAL CHOICE",
            "identifier": "260646",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Line Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.