Provider Demographics
NPI:1265512735
Name:LERNER, ROY STUART (MD)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:STUART
Last Name:LERNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WARD DR
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-1917
Mailing Address - Country:US
Mailing Address - Phone:718-405-8200
Mailing Address - Fax:718-405-8016
Practice Address - Street 1:1180 MORRIS PARK AVE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1925
Practice Address - Country:US
Practice Address - Phone:718-829-1334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149569207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY14956960NYOther1199
NY3302485OtherAETNA
NYGP323OtherOXFORD
NY5074002OtherCIGNA
NY87D57OtherBLUE CROSS
NY0004395OtherGHI
NY0H1647OtherHEALTHNET
NYGP323OtherOXFORD
NYB87306Medicare UPIN