My Home Doctor of New Jersey, LLC
NPI 1396621983ActiveOrganization· Internal Medicine· Montclair, NJ
Internal Medicine in Montclair, New Jersey, registered in NPPES in August 2025. The authorized official on file is Patrick D. Kavanagh, MD, Owner.
Overview
| NPI | 1396621983 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2025 |
| Last updated in NPPES | Jan 16, 2026 |
| Certified by provider | Jan 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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