Healthcare Provider Details

I. General information

NPI: 1982693990
Provider Name (Legal Business Name): MICHAEL BERNARD KERNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MORRIS AVE
SPRINGFIELD NJ
07081-1404
US

IV. Provider business mailing address

432 OCEAN BLVD UNIT 402
LONG BRANCH NJ
07740-5687
US

V. Phone/Fax

Practice location:
  • Phone: 973-467-1313
  • Fax: 973-467-3133
Mailing address:
  • Phone: 973-477-1866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number25MA02630300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: