Kendall Park Medical Group
NPI 1477784155 · Family Medicine Physician · Kendall Park, NJ
Kendall Park Medical Group is a Family Medicine Physician organization in Kendall Park, NJ (NPI 1477784155).
Provider details
- NPI number
- 1477784155
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jaime Lara, Physician(732) 940-0505
- License
- 25MA04235300 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-29
- Last updated
- 2009-07-29
Frequently asked questions
- What is Kendall Park Medical Group's NPI number?
- Kendall Park Medical Group's National Provider Identifier (NPI) is 1477784155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kendall Park Medical Group?
- Kendall Park Medical Group is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kendall Park Medical Group located?
- Kendall Park Medical Group's practice location on file with NPPES is 3 Stanworth Rd # a, Kendall Park, NJ 08824-1003.
- What is Kendall Park Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Kendall Park Medical Group is (732) 940-0505.
- Who is the authorized official for Kendall Park Medical Group?
- The authorized official listed on Kendall Park Medical Group's NPPES record is Jaime Lara, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kendall Park Medical Group's NPI active?
- Yes — Kendall Park Medical Group's NPI (1477784155) is active in the NPPES registry as of the last update on 2009-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.