Active NPI
Lauren Michelle Kerwin, MD
- Diagnostic Radiology Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA09687700
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1915 - Phone
- (551) 996-2200
- Fax
- (201) 489-2812
- NPI assigned
- Apr 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA09687700 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Mailing address
130 Kinderkamack Rd
Suite 200
River Edge, NJ 07661-1939
Phone (201) 488-2660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0508063 | Medicaid | NJ |
Other names 1
- Lauren Michelle Hartford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York Medical College, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5370
1000 Galloping Hill Rd
Union, NJ 07083-7989
Phone (908) 522-6280
111 Madison Ave
Morristown, NJ 07960-6097
Phone (973) 971-6866
310 Madison Ave
Morristown, NJ 07960-6967
Phone (973) 532-7900
435 S St
Morristown, NJ 07960-6422
Phone (973) 971-6111
Hospital & facility affiliations
- Morristown Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09687700 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Regional Diagnostic Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Hunterdon Ambulatory Services LLC | Current | Accepting new patients | |
| Ancillary Services of Practice Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Women'S Healthcare Imaging, Corp. | Current | Accepting new patients | |
| Practice Associates Medical Group | Past | Accepting new patients |
Locations
471 Broadway
Ste 400
Bayonne, NJ 07002
Phone (973) 436-0511
1121 Route 22
Ste 103
Bridgewater, NJ 08807
Phone (908) 237-4001
100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620
140 Central Ave
Ste 600
Clark, NJ 07066
Phone (732) 943-5030
3025 Paramus Park Mall
Ste 300
Paramus, NJ 07652
Phone (201) 267-6889
10 Lanidex Plz W
Ste 125
Parsippany, NJ 07054
Phone (973) 267-1274
1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
Interoperability endpoints
- lkerwin189846@ahs.direct-ci.com
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.
-
- Diagnostic Radiology Physician
- Morristown, NJ
- NPI 1144858408
-
- Diagnostic Radiology Physician
- Vineland, NJ
- NPI 1972575892
-
- Diagnostic Radiology Physician
- Morristown, NJ
- NPI 1972114361
-
- Radiology Clinic/Center
- Bridgewater, NJ
- NPI 1184149031
-
- Radiology Clinic/Center
- Union, NJ
- NPI 1285880153
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1669797304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 KINDERKAMACK RD",
"address_2": "SUITE 200",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076611939",
"telephone_number": "201-488-2660",
"fax_number": "201-489-2812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "551-996-2200",
"fax_number": "201-489-2812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERWIN",
"first_name": "LAUREN",
"middle_name": "MICHELLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-06",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA09687700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0508063",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "HARTFORD",
"middle_name": "MICHELLE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.