DR. KENNEDY PALWASHA FAZLI DAFTANI (M.D, MHSA) – Family Medicine Physician, NPI 1043531726
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,515 FAMILY PRACTICE in NJ
Provider Addresses for DR. KENNEDY PALWASHA FAZLI DAFTANI (M.D, MHSA)
271 GROVE AVE STE A
VERONA, NJ 070441731
Phone: (973) 239-2600
Fax: (833) 495-1921
Type: Location
700 ROUTE 46 E STE 450
FAIRFIELD, NJ 070041583
Phone: (973) 559-3700
Fax: (973) 559-8650
Type: Mailing
200 HIGHLAND AVE STE 100B
GLEN RIDGE, NJ 070281521
Phone: (973) 969-3800
Fax: (973) 969-3232
Type: Location
271 GROVE AVE STE E
VERONA, NJ 070441730
Phone: (973) 559-3700
Fax: (833) 484-1686
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140311000658 | I | Family Practice | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 244 | 191 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 122 | 112 | $0 |
| 81003 | Automated urinalysis test | 121 | 104 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 96 | 96 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 90 | 89 | $0 |
Insurance plans in this area (ZIP 07044)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | NJ | 83036 | Hemoglobin A1C level | 54 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NJ | |
| Allergy/Immunology, Pediatric Medicine | NJ | |
| Family Practice | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Family Practice | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ |
Reviews
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