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

Dr. Kennedy Palwasha Fazli Daftani, MD, MHSA

Individual provider Family Medicine Physician · NPI 1043531726

Dr. Kennedy Palwasha Fazli Daftani, MD, MHSA is a Family Practice in Verona, New Jersey. Qualified in 2009, 17 years ago. Practices with Vanguard Medical Group PA, a 60-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
17
Licensed in
NJ
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

271 Grove Ave Ste A
Verona, NJ 07044-1731
Phone: (973) 239-2600
Fax: (833) 495-1921
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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 25MA09194600 (NJ)

Record details

NPI number1043531726
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MHSA
Sole proprietorNo
NPI enumeratedJune 17, 2010
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Vanguard Medical Group Pa — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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