Organization Active NPI

Jay Arthur Kerner

  • Podiatric Clinic/Center
  • Rockville Centre, NY
National Provider Identifier
1497921613
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
003250 Issued in NY
Legal business name
JAY ARTHUR KERNER
Practice address
314 Demott Ave
Rockville Centre, NY 11570-1854
Phone
(516) 223-4026
Fax
(516) 223-8380
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Jay Arthur Kerner, D.P.M.
Title
Podiatrist/Owner
Phone
(516) 223-4026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 003250 NY Primary

Addresses

Primary practice location

314 Demott Ave
Rockville Centre, NY 11570-1854

Mailing address

314 Demott Ave
Rockville Centre, NY 11570-1854
Phone (516) 223-4026

Other identifiers 1

IdentifierTypeStateIssuer
00673363MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1497921613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 DEMOTT AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701854",
            "telephone_number": "516-223-4026",
            "fax_number": "516-223-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 DEMOTT AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701854",
            "telephone_number": "516-223-4026",
            "fax_number": "516-223-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY ARTHUR KERNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "KERNER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "516-223-4026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "003250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00673363",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.