Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kendall Park Medical Group

Family Medicine Physician in Kendall Park, NJ · enumerated 2009 · authorized official Jaime Lara, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477784155

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Registry record

Entity type Organization (Type 2)

Legal business name Kendall Park Medical Group

Practice address 3 Stanworth Rd # A, Kendall Park, NJ, 08824

Phone (732) 940-0505

Fax (732) 940-1997

Enumeration date Jul 29, 2009

Last updated in NPPES Jul 29, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 25MA04235300 (NJ) Primary

Authorized official

Name Jaime Lara

Title Physician

Phone (732) 940-0505

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-07-29. Verify at npiregistry.cms.hhs.gov.

Where is Kendall Park Medical Group located?

The practice location on file with NPPES is in Kendall Park, NJ.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-07-29.