Elyse B Kerschner, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

056296 Issued in NY

Practice address

255 Brunswick St Ste 5
Jersey City, NJ 07302-1590

Phone

(201) 565-0890

NPI assigned

Apr 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1285924357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 BRUNSWICK ST STE 5",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021590",
            "telephone_number": "201-565-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BRUNSWICK ST STE 5",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021590",
            "telephone_number": "201-565-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 6th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100143516",
            "country_code": "US",
            "telephone_number": "212-741-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERSCHNER",
        "first_name": "ELYSE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "056296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth S Chang MD PA
• Shar Kennett, MD
• Kiera Kennette
• Colleen Jaime Kenny
• Patricia Marie Kenny, RPH
• Samantha Kerstein
• Khaleidoscope Health Care Inc
• Khaleidoscope Health Care Inc.
• Khaleidoscope Health Care Inc.
• Ronny Fares Khalek, DDS

• Pediatric Dentistry in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.