Provider Demographics
NPI:1194870816
Name:KERN, JUDITH M (APNC)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:M
Last Name:KERN
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Gender:F
Credentials:APNC
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Mailing Address - Street 1:20 HOSPITAL DR
Mailing Address - Street 2:SUITE 12
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6434
Mailing Address - Country:US
Mailing Address - Phone:732-244-2299
Mailing Address - Fax:732-244-5757
Practice Address - Street 1:20 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 12
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8054
Practice Address - Country:US
Practice Address - Phone:732-244-2299
Practice Address - Fax:732-244-5757
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2012-08-09
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Provider Licenses
StateLicense IDTaxonomies
NJ26NN04459600363LF0000X
NJ26NC04459600364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8353905Medicaid
NJ043318DNUMedicare PIN