Keron A. Sinclair, PAC
NPI 1174719934ActiveIndividual· Physician Assistant· Green Brook, NJ
Physician Assistant (PAC) in Green Brook, New Jersey, licensed in NJ, with an NPI issued in September 2007. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1174719934 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Sep 14, 2007 |
| Last updated in NPPES | Apr 18, 2023 |
| Certified by provider | Apr 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 25MP00186000 | NJ |
| Family Medicine | 207Q00000X | 25MP00186000 | 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 Practitioner - Physician Assistant (NJ) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 16 physician assistants in Green Brook · All physician assistants in New Jersey