Individual provider Active NPI

Jay A Kerner, DPM

  • Podiatrist
  • Rockville Centre, NY
National Provider Identifier
1629050869
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003250 Issued in NY
Practice address
314 Demott Ave
Rockville Centre, NY 11570-1854
Phone
(516) 223-4026
Fax
(510) 223-8380
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003250 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080812000500 NY Practitioner - Podiatry 9032284955 Reassigns benefits to 1 organization
Practice locations: East Meadow, NY; Port Washington, NY; Rockville Centre, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

Practice addresses (Care Compare)

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

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

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of skin lesions181
Removal of nail tissue915
Removal or shaving of skin growth586
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003250NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Arthur Kerner PastSince Jan 1, 1990 Accepting new patients
Prine Health Medical Group, PLLC Podiatrist Past Accepting new patients

Networks

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

Organizations & group practices 3

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1629050869",
    "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": "510-223-8380"
        },
        {
            "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": "510-223-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNER",
        "first_name": "JAY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003250",
            "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

Verify at the official NPI Registry.