MEDICARE: DR. MICHAEL BERNARD KERNER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	25MA02630300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982693990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL BERNARD KERNER M.D.

Provider Business Mailing Address
First Line	:	432 OCEAN BLVD UNIT 402
Second Line	:
City	:	LONG BRANCH
State	:	NJ
Zip	:	07740-5687
Country	:	US
Telephone Number	:	973-477-1866
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 MORRIS AVE
Second Line	:
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081-1404
Country	:	US
Telephone Number	:	973-467-1313
Fax Number	:	973-467-3133

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	02/24/2025

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Directions to “ DR. MICHAEL BERNARD KERNER M.D.” Practice Location

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