Kendall Park Medical Group
NPI 1477784155ActiveOrganization· Family Medicine· Kendall Park, NJ
Family Medicine in Kendall Park, New Jersey, registered in NPPES in July 2009. The authorized official on file is Jaime F. Lara, M.D., Physician.
Overview
| NPI | 1477784155 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2009 |
| Last updated in NPPES | Jul 29, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 25MA04235300 | NJ |
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 |
|---|
Other Family Medicine providers in Kendall Park
- 1073307336
- 1972767960
- 1992853790
- 1316331804
- 1629159892