Individual provider Active NPI

Jonathan Edward Lerner, M.D.

  • Diagnostic Radiology Physician
  • Port Jefferson, NY
National Provider Identifier
1346297645
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
210402-1 Issued in NY
Practice address
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
May 30, 2006
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 210402-1 NY Primary

Addresses

Primary practice location

200 Belle Terre Rd
Port Jefferson, NY 11777-1928

Mailing address

52 Main St
Bedford Hills, NY 10507-1814
Phone (914) 666-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041111000070 NY Practitioner - Diagnostic Radiology 7315851904 Reassigns benefits to 6 organizations
Practice locations: Roslyn, NY
I20130115000446 CT Practitioner - Diagnostic Radiology 7315851904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
St Francis Cardiac Prevention Services PCGroup PAC ID 4183515836, 60 clinicians
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (718) 223-4685

211 S Main St
Middletown, CT 06457-3726
Phone (860) 347-7636

2200 Northern Blvd
100C St Francis Diagnostic
Greenvale, NY 11548-1220
Phone (516) 325-7400

29 Eagle LN
Roslyn, NY 11576-2501
Phone (718) 223-4685

30 Hummingbird Dr
Roslyn, NY 11576-2507
Phone (718) 223-4685

4 Ohio Dr
New Hyde Park, NY 11042-1111
Phone (516) 775-4545

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (718) 223-4685

600 Northern Blvd
Great Neck, NY 11021-5200
Phone (516) 627-8717

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210402-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Oct 23, 2014 Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 1, 2021 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Oct 23, 2014 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Apr 5, 2020 Accepting new patients
St. Francis Cardiac Prevention Services PC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
The Central Orthopedic Group L L P CurrentSince Nov 1, 2022 Accepting new patients
The Central Orthopedic Group L L P CurrentSince Nov 1, 2022 Accepting new patients
CHS Physician Partners, PC CurrentSince Jan 1, 2021 Accepting new patients
Bethpage Magnetic Resonance Imaging, PC Diagnostic Radiology Past Accepting new patients
Prohealth Care Associates LLP Past Accepting new patients
Stony Brook Radiologic Services PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 38)

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

6 Greenwich Office Park
Ste 100
Greenwich, CT 06831

410 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 685-8951

430 Saybrook Rd
Middletown, CT 06457
Phone (860) 638-3820

4 Grove Beach Rd N
Ste E
Westbrook, CT 06498
Phone (860) 669-4197

4277 Hempstead Tpke
Ste 100A
Bethpage, NY 11714
Phone (516) 579-5800

4277 Hempstead Tpke
Ste 200
Bethpage, NY 11714
Phone (516) 796-4240

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

327 Beach 19th St
#H
Far Rockaway, NY 11691
Phone (718) 869-7000

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

600 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 627-8717

2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

500 Mamaroneck Ave
Harrison, NY 10528
Phone (203) 869-1145

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1346297645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MAIN ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105071814",
            "telephone_number": "914-666-2220",
            "fax_number": "914-666-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "JONATHAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "210402-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.