Jeannette A Kern, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01454000 Issued in NJ

Practice address

315 Wootton St Ste G&H
Boonton, NJ 07005-1939

Phone

(973) 917-3088

Fax

(973) 917-3089

NPI assigned

Aug 14, 2012

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1629325220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WOOTTON ST STE G&H",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051939",
            "telephone_number": "973-917-3088",
            "fax_number": "973-917-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WOOTTON ST STE G&H",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051939",
            "telephone_number": "973-917-3088",
            "fax_number": "973-917-3089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Main St Ste E",
            "address_purpose": "LOCATION",
            "city": "Matawan",
            "state": "NJ",
            "postal_code": "077472621",
            "country_code": "US",
            "telephone_number": "732-970-4974",
            "fax_number": "732-970-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "JEANNETTE",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01454000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca F Kalb, PT
• Leonard I Kaplan, R.P.H.
• Ravneet Kaur, M.B.B.S.
• Sophia Keene, PHARMD
• Manvir Singh Kehal, DO
• Ronald V Kern, D. C.
• Fatima Khan, DO
• Rassam Khan, MD
• Kaitlyn Ann Kirkpatrick
• Mitchell Mark Kirschbaum, DDS

• Physical Therapist in Boonton, NJ
• Providers in Boonton, 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 Mar 22, 2019; 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.