Suraj Depani
NPI 1558242859ActiveIndividual· Physician Assistant· Cherry Hill, NJ
Physician Assistant with Kennedy Medical Group Practice, P.C., practicing in Cherry Hill, New Jersey. Enrolled in Medicare as practitioner - physician assistant. Lists Cooper University Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1558242859 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 11, 2025 |
| Last updated in NPPES | Feb 1, 2026 |
| Certified by provider | Feb 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 25MP00972100 | 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) | Enrolled Practitioner - Physician Assistant (NJ) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Kennedy Medical Group Practice, P.C.Stratford, NJ · 418 clinicians
Hospital affiliations
- Cooper University HospitalCamden, NJ
- Jefferson Stratford HospitalStratford, NJ
- Penn Presbyterian Medical CenterPhiladelphia, PA
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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