Center for Preventative Medicine of New Jersey
NPI 1083747299ActiveOrganization· Internal Medicine· South Orange, NJ
Internal Medicine in South Orange, New Jersey, registered in NPPES in March 2007. The authorized official on file is Kevin D. Holder, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083747299 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2007 |
| Last updated in NPPES | Apr 16, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 25MA04002500 | NJ |
| Family Medicine | 207Q00000X | 25MA04662500 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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