Provider Demographics
NPI:1184812380
Name:LERMAN, JAY E (MD)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:E
Last Name:LERMAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6511 FORT HAMILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5524
Mailing Address - Country:US
Mailing Address - Phone:718-491-4545
Mailing Address - Fax:718-491-4123
Practice Address - Street 1:6511 FORT HAMILTON PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5524
Practice Address - Country:US
Practice Address - Phone:718-491-4545
Practice Address - Fax:718-491-4123
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1710292085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01441836Medicaid
NYF69026Medicare UPIN
NY16H771Medicare PIN