Physician Compare National (NPI:1164446472)

HEALTHCARE PROVIDER: MARTIN JAY KESSLER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1164446472
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537191648
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050914000411
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KESSLER
	Individual professional last name
Provider First Name	MARTIN
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1458 W LANDIS AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2
	Group Practice or individual's line 2 address
City	VINELAND
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	083603412
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310032
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	INSPIRA MEDICAL CENTER VINELAND
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y