EMANUEL LERNER MD
NPI 1275692659
Pediatrics in Somerset, NJ
About Emanuel Lerner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMANUEL LERNER MD (NPI 1275692659) is an individual pediatrics provider in Somerset, New Jersey, licensed in New Jersey (25MA05840800) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emanuel Lerner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Emanuel Lerner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Rutgers Health Rwj Primary Care Institute
- 17 clinicians in this Medicare group
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 125 clinicians in this Medicare group
New Brunswick, NJ 08901
- Reassigned Medicare billing, New Jersey enrollment
- 492 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08873 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOMERSET, NJ 08873
SOMERSET, NJ 08873
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Emanuel Lerner's NPI number?
The NPI number for Emanuel Lerner is 1275692659. It was assigned to this individual provider in the NPPES registry on December 8, 2006.
Where is Emanuel Lerner located?
Emanuel Lerner practices at 1 Worlds Fair Dr Robert Wood Johnson University Medical Group - Somerset, Somerset, NJ 08873. The listed phone number is (732) 743-5437.
What is Emanuel Lerner's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Emanuel Lerner enrolled in Medicare?
Yes. Emanuel Lerner is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Emanuel Lerner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emanuel Lerner reassigns Medicare benefits to 3 organizations: Rutgers Health-Rwj Primary Medicine Group (Somerset, NJ), Rutgers Health-Rwj Primary Medicine Group (Somerset, NJ) and Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emanuel Lerner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Emanuel Lerner accept?
Health plans from Ambetter Health and Oscar Health list Emanuel Lerner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Emanuel Lerner was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Emanuel Lerner, MD · NPI 1275692659
Pediatrics physician in Somerset, New Jersey. Individual provider, active in the CMS NPPES registry since December 8, 2006.
## Identity
- **NPI:** 1275692659 (Entity type: Individual)
- **Enumerated:** December 8, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 25MA05840800 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 WORLDS FAIR DR, ROBERT WOOD JOHNSON UNIVERSITY MEDICAL GROUP - SOMERSET, Somerset, NJ 08873-1344
- **Phone:** (732) 743-5437
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Rutgers Health-Rwj Primary Medicine Group (NPI 1497867410, Somerset, NJ); Rutgers Health-Rwj Primary Medicine Group (NPI 1497867410, Somerset, NJ); Rutgers Health-Rwj Pediatric Critical Care (NPI 1063420776, New Brunswick, NJ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 2, 2024
- **Other identifiers:** Medicaid 6605800 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1275692659) · Data from the CMS NPPES public registry.