DEBORAH KERN LCSW LLC (NPI# 1255614327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255614327 |
| Entity Type | Organization |
| Organization Name | DEBORAH KERN LCSW LLC |
| Practice Address |
121 Cedar Ln Ste 3a Teaneck NJ 07666 |
| Mailing Address |
4 Horizon Rd Apt. 1412 Fort Lee NJ 07024-6743 |
| Practice Telephone | 9548810830 |
| Mailing Telephone | 2013664075 |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | DEBORAH BETH KERN (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 9548810830 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302R00000X | Health Maintenance Organization | 44SC05353600 | NJ | Managed Care Organizations |
| Y | 305R00000X | Preferred Provider Organization | 44SC05353600 | NJ | Managed Care Organizations |
| Street Address |
121 CEDAR LN STE 3A |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558460949 | Jennifer Lee Bame | Social Worker | 121 Cedar Ln Ste 3a, Teaneck, NJ 07666-4457 | 2006-09-21 |
| 1588299648 | Charles Joseph Imbimbo | Social Worker | 121 Cedar Ln Ste 3a, Teaneck, NJ 07666-4457 | 2020-03-10 |
| 1194374181 | Susan Martins | Social Worker | 121 Cedar Ln Ste 3a, Teaneck, NJ 07666-4457 | 2019-09-11 |
| 1760991707 | Tammy Michelle Smith | Social Worker | 121 Cedar Ln Ste 3a, Teaneck, NJ 07666-4457 | 2017-09-21 |
| 1457873135 | Ann Carr | Social Worker | 121 Cedar Ln Ste 3a, Teaneck, NJ 07666-4457 | 2017-07-13 |
| 1982911814 | Eric K Williams | Social Worker | 121 Cedar Ln Ste 3a, Teaneck, NJ 07666-4457 | 2010-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750837803 | Jessica Plonchak | Preferred Provider Organization | 255 Sherman Ave, Teaneck, NJ 07666-3310 | 2016-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112670 | Tree House Ent Cultral Arts Movement Inc | Preferred Provider Organization | 462 Sanford Ave, Newark, NJ 07106-1602 | 2020-07-28 |
| 1538617683 | Patricia Allocca | Preferred Provider Organization | 305 Atlantic Dr, Parsippany, NJ 07054-2441 | 2016-09-19 |
| 1609227248 | Essex Pediatrics & Associates PC | Preferred Provider Organization | 654 Mount Prospect Ave, Newark, NJ 07104-3110 | 2016-06-24 |
| 1013372457 | Sewell Senior Citizen Center | Preferred Provider Organization | 475 Hurstville Cross Keys Rd, Suite A&b, Sewell, NJ 08080 | 2015-12-30 |
| 1487021309 | Bergen Smiles Dental Clinic, LLC | Preferred Provider Organization | 24 Godwin Ave Ste 102, Midland Park, NJ 07432-1962 | 2015-08-26 |
| 1972900777 | Advocacy Family Support Services. | Preferred Provider Organization | 41 La Gorce Blvd, Burlington, NJ 08016-2938 | 2014-11-24 |
| 1265852933 | Abt Counseling Pllc | Preferred Provider Organization | 1010 Haddonfield Berlin Rd Ste 300, Voorhees, NJ 08043-3514 | 2014-04-22 |
| 1811324650 | G L Payumo Md Pa | Preferred Provider Organization | 205 May St Ste 103, Edison, NJ 08837-3267 | 2013-10-10 |
| 1154753507 | United Anesthesia LLC | Preferred Provider Organization | 249 Bridge St Bldg G, Metuchen, NJ 08840-2294 | 2013-08-07 |
| 1619315124 | Advanced Oral & Maxillofacial Surgery | Preferred Provider Organization | 270 Spring Valley Rd, Paramus, NJ 07652-5343 | 2013-06-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.