Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenilworth Primary Care LLC

Organization Primary Care Clinic/Center · NPI 1164793014

Kenilworth Primary Care LLC is a Primary Care Clinic/Center in Kenilworth, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.

Licensed in
NJ
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

66 S 21st St
Kenilworth, NJ 07033-1626
Phone: (908) 276-9595
Fax: (908) 276-6807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X (NJ)

Record details

NPI number1164793014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bhavani Jeereddy — Sole Member · (908) 276-9595
NPI enumeratedJanuary 24, 2012
Last updated in NPPESJanuary 24, 2012
Mailing address66 S 21st St, Kenilworth, NJ 07033-1626