Jay Kern, M.D.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

25MA01879000 Issued in NJ

Practice address

211 Shrewsbury Ave
Red Bank, NJ 07701-1250

Phone

(732) 212-0777

NPI assigned

Apr 17, 2008

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

• Dr. Jay Alan Kern Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2008.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1679747851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N EDGEMERE DR",
            "city": "ALLENHURST",
            "state": "NJ",
            "postal_code": "077111322",
            "telephone_number": "732-531-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SHREWSBURY AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011250",
            "telephone_number": "732-212-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA01879000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "25MA01879000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "KERN",
            "middle_name": "ALAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lorien Kelly, D.O.
• Thomas M Kelly, D.C.
• Lorraine Kennedy, LCSW
• Sean Kenney
• Melanie Ann Kerekes, NP
• Kristen Kerrigan, CCC-SLP
• Jessica Kethley, NP-C
• Arslan Khan, M.D.
• Saqib Ishaq Khan
• Pradnya P Khedkar, OTR/L

• All providers in Red Bank, NJ
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.