Active NPI
Bruce Kern
- Periodontics
- Monroe Township, NJ
National Provider Identifier
1326181389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 42509
- Practice address
- 1600 Perrineville Rd
Monroe Township, NJ 08831-4923 - Phone
- (609) 409-9700
- Fax
- (609) 409-9797
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 42509 | NY | Primary |
Addresses
Primary practice location
1600 Perrineville Rd
Monroe Township, NJ 08831-4923
Mailing address
253 Stonehill Rd
Freehold, NJ 07728-8517
Phone (732) 462-1917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42509 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326181389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 STONEHILL RD",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077288517",
"telephone_number": "732-462-1917",
"fax_number": "718-377-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 PERRINEVILLE RD",
"city": "MONROE TOWNSHIP",
"state": "NJ",
"postal_code": "088314923",
"telephone_number": "609-409-9700",
"fax_number": "609-409-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "BRUCE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "42509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.