Provider Demographics
NPI:1083045942
Name:LERER, ADINA (NP)
Entity type:Individual
Prefix:
First Name:ADINA
Middle Name:
Last Name:LERER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 CHARLTON CIR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-1482
Mailing Address - Country:US
Mailing Address - Phone:347-420-2824
Mailing Address - Fax:
Practice Address - Street 1:1382 LANES MILL RD STE 201
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3894
Practice Address - Country:US
Practice Address - Phone:732-994-4242
Practice Address - Fax:732-363-5164
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-03
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 638006163W00000X, 163WL0100X
NJNJDCATEMP-029564363LF0000X
NY342176363LF0000X
NJ26NJ01119300363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily