Provider Demographics
NPI:1336103845
Name:KERNIS, STEVEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:KERNIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:151 FRIES MILL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2056
Mailing Address - Country:US
Mailing Address - Phone:856-212-0130
Mailing Address - Fax:856-212-0135
Practice Address - Street 1:151 FRIES MILL RD STE 105
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-2056
Practice Address - Country:US
Practice Address - Phone:856-212-0130
Practice Address - Fax:856-212-0135
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD459750207RC0000X, 207RI0011X
NJ25MA082185207RI0011X
NJ25MA08218500207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0244392Medicaid
NJ109863Medicare PIN