K Primary Care and Medical Nutrition Center
NPI 1477948362ActiveOrganization· Internal Medicine· New Providence, NJ
Internal Medicine in New Providence, New Jersey, registered in NPPES in March 2015. The authorized official on file is Maureen Doherty, Credentialing Contact. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477948362 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2015 |
| Last updated in NPPES | Sep 1, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | 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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