Individual provider Active NPI

Paul Kenneth Lerer, MD

  • Gastroenterology Physician
  • Westfield, NJ
National Provider Identifier
1336131176
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA46175 Issued in NJ
Practice address
525 Central Ave
Suite C
Westfield, NJ 07090-2534
Phone
(908) 233-0895
Fax
(908) 389-1930
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA46175 NJ Primary

Addresses

Primary practice location

525 Central Ave
Suite C
Westfield, NJ 07090-2534

Mailing address

21 Commerce Dr Ste 200
Cranford, NJ 07016-3519
Phone (723) 382-0091

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
I20100327000109 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 5991791527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Mayo Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

525 Central Ave
Suite D
Westfield, NJ 07090-2545
Phone (908) 389-1910

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy68
Upper gastrointestinal (GI) endoscopy for acid reflux31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA46175NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Oct 1, 2021 Accepting new patients
Medical Diagnostic Associates, PA Past Accepting new patients

Locations

33 Bleeker St
Ste 104
Millburn, NJ 07041
Phone (973) 379-3051

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

525 Central Ave
Ste D
Westfield, NJ 07090
Phone (908) 389-1910

525 Central Ave
Ste C
Westfield, NJ 07090
Phone (908) 233-0895

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1336131176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 COMMERCE DR STE 200",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163519",
            "telephone_number": "723-382-0091",
            "fax_number": "732-382-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 CENTRAL AVE",
            "address_2": "SUITE C",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902534",
            "telephone_number": "908-233-0895",
            "fax_number": "908-389-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERER",
        "first_name": "PAUL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA46175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.