Kendall Park Medical Group

LBN: Kendall Park Medical Group
Kendall Park Medical Group is an health care organization with primary practice located at 3 Stanworth Rd # A , Kendall Park NJ 08824-1003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Kendall Park Medical Group can be contacted via phone (732) 940-0505, or through Lara, Jaime F via phone (732) 940-0505.

Contact Information

Primary practice address
3 Stanworth Rd # A Kendall Park NJ 08824-1003
Phone: (732) 940-0505
Fax: (732) 940-1997
Website:
Map and Directions
Authorized official contact:
Name: Lara, Jaime F Doctor of Medicine (MD)
Phone: (732) 940-0505

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA04235300 New Jersey

Profile Details

NPI number 1477784155
LBN Legal business name Kendall Park Medical Group
DBA Doing business as
Authorized official Lara, Jaime F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2009
Last updated Jul 29th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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