Matthew Ronald Kern, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01452400 Issued in NJ

Practice address

30 Abenaki Trail
Oak Ridge, NJ 07438

Phone

(973) 598-5321

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Rutgers School of Dental Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Jersey Professional Rehabilitation LLCGroup PAC ID 3577596659, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• North Jersey Professional Rehabilitation LLC

  • Physical Therapist
  • Sparta, NJ
  • NPI 1992848329
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1437408036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ABENAKI TRAIL",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "07438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ABENAKI TRAIL",
            "city": "OAK RIDGE",
            "state": "NJ",
            "postal_code": "07438",
            "telephone_number": "973-598-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "MATTHEW",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01452400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanan H Jafar
• Alicia Jennings, LCSW
• John M. Liaci, D.C.-LLC
• Andrea M Jones, ATC
• Katherine Van Ness, Ms, Otl LLC
• Victoria King, MA, MT-BC, NMT
• Justin Ko
• Wojciech Konior, CNS
• Lauren Francis Kowalski
• Megan Kretschmaier

• Physical Therapist in Oak Ridge, NJ
• Providers in Oak Ridge, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.