Kerri Lynette Powell, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA69704 Issued in NJ

Practice address

430 Morris Ave
1St Floor
Elizabeth, NJ 07208-3609

Phone

(908) 353-5437

Fax

(908) 353-0727

NPI assigned

Feb 22, 2006

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

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
• Direct secure messaging: kerri.powell.p1@direct.nhscnj.nextgenshare.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Neighborhood Health Services Corporation

  • Federally Qualified Health Center (FQHC)
  • Plainfield, NJ
  • NPI 1316981707

  Corporate Officer

  CMS ownership
• Neighborhood Health Services Corporation

  • Federally Qualified Health Center (FQHC)
  • Elizabeth, NJ
  • NPI 1538383666

  Corporate Officer, Operational/Managerial Control

  CMS ownership

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.

• Neighborhood Health Services Corporation

  • Federally Qualified Health Center (FQHC)
  • Phillipsburg, NJ
  • NPI 1003850488

  Pediatrics

  Medicare reassignment NPD
• Neighborhood Health Services Corporation

  • Federally Qualified Health Center (FQHC)
  • Elizabeth, NJ
  • NPI 1538383666

  Pediatrics

  NPD

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1891760955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MORRIS AVE",
            "address_2": "1ST FLOOR",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083609",
            "telephone_number": "908-868-5845",
            "fax_number": "908-353-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MORRIS AVE",
            "address_2": "1ST FLOOR",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083609",
            "telephone_number": "908-353-5437",
            "fax_number": "908-353-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KERRI",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA69704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine B Polera, DO
• Benjamin L Pomeranc, D.M.D.
• Delores Ponton, LSW
• Monika Poselek
• Miguel B. Pou, DDS
• Tannavi Prakash
• Precious Medical Care LLC
• Precious Medical Center LLC
• Precision Optical, LLC
• Preferred Ultrasound Center

• Pediatrics Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.