Kenneth Donovan DPM LLC
NPI 1417229493ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Warren, NJ
Podiatrist, Foot & Ankle Surgery in Warren, New Jersey, registered in NPPES in February 2012. The authorized official on file is Kenneth James Donovan, DPM, Owner. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1417229493 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2012 |
| Last updated in NPPES | Apr 20, 2025 |
| Certified by provider | Apr 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | 25MD00302600 | 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 DME Supplier - Physician - Podiatry (NJ); Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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