Individual provider Active NPI

Karen Elizabeth Fuhrman Kerner, O.D.

  • Optometrist
  • Chestnut Ridge, NY
National Provider Identifier
1346545977
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00572300 Issued in NJ
Practice address
811 Chestnut Ridge Rd
Chestnut Ridge, NY 10977-6330
Phone
(201) 560-1244
Fax
(201) 560-1291
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00572300 NJ Primary

Addresses

Primary practice location

811 Chestnut Ridge Rd
Chestnut Ridge, NY 10977-6330

Mailing address

320 Canterbury LN
Wyckoff, NJ 07481-2304
Phone (201) 560-1244

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141107001451 NJ Practitioner - Optometry 0547482408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corey M. Notis, M.D., P.a.Group PAC ID 1456365154, 12 clinicians

Practice addresses (Care Compare)

155 Morris Ave
Suite 302
Springfield, NJ 07081-1224
Phone (973) 232-6900

Merit-based Incentive Payment System (MIPS)

Final score
92.09 of 100Reported as group
Quality
97
Improvement activities
40
Cost
77.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Corey M. Notis, M.D., P.a. Optometrist CurrentSince Feb 23, 2017 Accepting new patients
Corey M. Notis, M.D., P.a. Optometrist CurrentSince Feb 23, 2017 Accepting new patients

Locations

155 Morris Ave
Ste 302
Springfield, NJ 07081
Phone (973) 232-6900

900 Stuyvesant Ave
Union, NJ 07083
Phone (908) 686-9330

Interoperability endpoints

  • Direct secure messaging: karenfuhrman@associneyecare.direct.eyemdemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1346545977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CANTERBURY LN",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812304",
            "telephone_number": "201-560-1244",
            "fax_number": "201-560-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CHESTNUT RIDGE RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776330",
            "telephone_number": "201-560-1244",
            "fax_number": "201-560-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRMAN KERNER",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00572300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Ridge, NY

Sources for this page

Verify at the official NPI Registry.