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KENDALL PARK MEDICAL GROUP
NPI 1477784155
Family Medicine in Kendall Park, NJ

Active since July 29, 2009
3 STANWORTH RD # A, KENDALL PARK, NJ 08824(732) 940-0505(732) 940-1997 Get Directions Write a Review

NPPES record last updated: July 29, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kendall Park Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDALL PARK MEDICAL GROUP (NPI 1477784155) is a healthcare organization registered as a family medicine in Kendall Park, New Jersey and active in the NPI registry since July 2009. The organization lists Jaime F Lara, Physician, as its authorized official.

NPPES Registry Identity

NPI1477784155
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKENDALL PARK MEDICAL GROUP
Location Address3 STANWORTH RD # AKendall Park, NJ 08824-1003
Mailing Address3 Stanworth Rd # AKendall Park, NJ 08824-1003 · (732) 940-0505 · Fax (732) 940-1997
Phone(732) 940-0505
Fax(732) 940-1997
Organization SubpartNo
Authorized OfficialJaime F LaraPhysician · (732) 940-0505
Enumeration DateJuly 29, 2009
✔ NPI 1477784155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA04235300
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 STANWORTH RD # A, Kendall Park, NJ 08824
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendall Park Medical Group's NPI number?

The NPI number for Kendall Park Medical Group is 1477784155. It was assigned to this organization in the NPPES registry on July 29, 2009.

Where is Kendall Park Medical Group located?

Kendall Park Medical Group is located at 3 Stanworth Rd # A, Kendall Park, NJ 08824. The listed phone number is (732) 940-0505.

What is Kendall Park Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kendall Park Medical Group was last updated on July 29, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.