Individual provider Active NPI

Pauline Lerma, MD

  • Medical Oncology Physician
  • Hamilton, NJ
National Provider Identifier
1447334172
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
25MA07747100 Issued in NJ
Practice address
2575 Klockner Rd
The Cancer Institute of NJ Hamilton/Rwjuh-Hamilton
Hamilton, NJ 08690
Phone
(609) 631-6960
Fax
(609) 631-6888
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 25MA07747100 NJ Primary

Addresses

Primary practice location

2575 Klockner Rd
The Cancer Institute of NJ Hamilton/Rwjuh-Hamilton
Hamilton, NJ 08690

Mailing address

2575 Klockner Rd
The Cancer Institute of NJ Hamilton/Rwjuh-Hamilton
Hamilton, NJ 08690
Phone (609) 631-6960

Other identifiers 1

IdentifierTypeStateIssuer
9079807MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20170329000800 WY Practitioner - Internal Medicine 1557325248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell County Hospital DistrictGroup PAC ID 2860392529, 128 clinicians

Practice addresses (Care Compare)

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000

Hospital & facility affiliations

  • Campbell County Health Hospital, Gillette, WY, CCN 530002
  • Weston County Health Services Hospital, Newcastle, WY, CCN 531303
  • Crook County Hospital Hospital, Sundance, WY, CCN 531311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07747100NJMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Clinics Family Practice CurrentSince Mar 1, 2017 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Robert Wood Johnson University Hospital at Hamilton Past Accepting new patients
Campbell County Hospital District Past Accepting new patients

Locations

501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 6

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 4

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1447334172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 KLOCKNER RD",
            "address_2": "THE CANCER INSTITUTE OF NJ HAMILTON/RWJUH-HAMILTON",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-631-6960",
            "fax_number": "609-631-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 KLOCKNER RD",
            "address_2": "THE CANCER INSTITUTE OF NJ HAMILTON/RWJUH-HAMILTON",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-631-6960",
            "fax_number": "609-631-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERMA",
        "first_name": "PAULINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NJ",
            "license": "25MA07747100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9079807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.