Individual provider Active NPI

Jeffrey Carl Lerner, DPM

  • Foot & Ankle Surgery Podiatrist
  • Wellington, FL
National Provider Identifier
1962547109
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO1852 Issued in FL
Practice address
10115 W Forest Hill Blvd
Suite 302
Wellington, FL 33414-3105
Phone
(561) 641-7884
Fax
(561) 641-0440
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO1852 FL Primary

Addresses

Primary practice location

10115 W Forest Hill Blvd
Suite 302
Wellington, FL 33414-3105

Mailing address

10115 W Forest Hill Blvd
Suite 302
Wellington, FL 33414-3105
Phone (561) 641-7884

Other identifiers 2

IdentifierTypeStateIssuer
DG1880OtherFLRAILROAD MEDICARE
87973OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722000458 FL Practitioner - Podiatry 5496735466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3347 S State Rd
7 Suite 200B
Wellington, FL 33449-8148
Phone (561) 641-7884

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24
Removal of skin lesions1-10
Removal of nail tissue102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1852FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Podiatric Center Foot & Ankle Surgery CurrentSince Feb 12, 2004 Accepting new patients
Post Acute Specialists of Florida PLLC Foot & Ankle Surgery CurrentSince Oct 7, 2024 Accepting new patients

Locations

508 S Habana Ave
Ste 300
Tampa, FL 33609
Phone (813) 877-6770

2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060

3347 S State Road 7
Ste 200B
Wellington, FL 33449
Phone (561) 303-3491

3347 S State Road 7
Ste 202
Wellington, FL 33449
Phone (561) 641-7884

10115 Forest Hill Blvd
Ste 302
West Palm Bch, FL 33414
Phone (561) 204-4400

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1962547109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 W FOREST HILL BLVD",
            "address_2": "SUITE 302",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143105",
            "telephone_number": "561-641-7884",
            "fax_number": "561-641-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 W FOREST HILL BLVD",
            "address_2": "SUITE 302",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143105",
            "telephone_number": "561-641-7884",
            "fax_number": "561-641-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "JEFFREY",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG1880",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87973",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.