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

Aban Nikoonezhad

Individual provider Family Medicine Physician · NPI 1770103368

Aban Nikoonezhad is a Family Practice in Marlton, New Jersey. Graduated from West Virginia School of Osteopathic Medicine in 2020, 6 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
6
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

73 N Maple Ave
Marlton, NJ 08053-1782
Phone: (844) 542-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MB11909600 (NJ)

Record details

NPI number1770103368
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2020
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address73 N Maple Ave, Marlton, NJ 08053-1782

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Marlton