Individual provider Active NPI

Andre Lerer, M.D.

  • Neurology Physician
  • New Britain, CT
National Provider Identifier
1780621599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
22059 Issued in CT
Practice address
35 Pearl St
New Britain, CT 06051-2644
Phone
(860) 223-3810
Fax
(860) 229-2621
NPI assigned
Jun 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 22059 CT Primary

Addresses

Primary practice location

35 Pearl St
New Britain, CT 06051-2644

Mailing address

66 Westmont St
West Hartford, CT 06117-2927
Phone (860) 521-9253

Other identifiers 1

IdentifierTypeStateIssuer
004001715MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120203000048 CT Practitioner - NeurologyPractitioner - Sleep Medicine 8325001894 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Neurology CurrentSince Jun 15, 2016 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Current Accepting new patients

Locations

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

201 N Mountain Rd
Plainville, CT 06062
Phone (860) 224-5416

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1290 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 224-5305

Interoperability endpoints

  • Direct secure messaging: andre.lerer@xdr.hhchealthdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780621599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WESTMONT ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172927",
            "telephone_number": "860-521-9253",
            "fax_number": "860-229-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PEARL ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512644",
            "telephone_number": "860-223-3810",
            "fax_number": "860-229-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERER",
        "first_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "22059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004001715",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.