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KENAN REDZEMATOVIC
NPI 1972295178
Student in an Organized Health Care Education/Training Program in Franklin Lakes, NJ

Active since May 24, 2023PECOS Enrolled
211 SAGAMORE LN, FRANKLIN LAKES, NJ 07417(917) 683-8465 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenan Redzematovic NPPES

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

KENAN REDZEMATOVIC (NPI 1972295178) is an individual student in an organized health care education/training program in Franklin Lakes, New Jersey and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972295178
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKENAN REDZEMATOVIC
Location Address211 SAGAMORE LNFranklin Lakes, NJ 07417-2119
Mailing Address211 Sagamore LnFranklin Lakes, NJ 07417-2119 · (917) 683-8465
Phone(917) 683-8465
Sole ProprietorNo
Enumeration DateMay 24, 2023
NPPES CertifiedMay 24, 2023
✔ NPI 1972295178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
211 SAGAMORE LN, Franklin Lakes, NJ 07417
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenan Redzematovic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kenan Redzematovic's NPI number?

The NPI number for Kenan Redzematovic is 1972295178. It was assigned to this individual provider in the NPPES registry on May 24, 2023.

Where is Kenan Redzematovic located?

Kenan Redzematovic practices at 211 Sagamore Ln, Franklin Lakes, NJ 07417. The listed phone number is (917) 683-8465.

What is Kenan Redzematovic's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kenan Redzematovic enrolled in Medicare?

Yes. Kenan Redzematovic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenan Redzematovic was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.