Individual
JAY KERN
Active
Individual
JAY KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MA01879000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA01879000
MEDICAL LICENSE NUMBER
NJ
Enumeration date
04/17/2008
Last updated
04/17/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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