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

Individual provider Internal Medicine Physician · NPI 1104406313

Kameron Tavakolian, MD is an Internal Medicine in Neptune, New Jersey. Qualified in 2021, 5 years ago. Practices with Plover Inpatient Services LLC, a 153-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2021
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

1945 State Route 33
Neptune, NJ 07753-4859
Phone: (732) 775-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA12251800 (NJ)

Record details

NPI number1104406313
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESJune 7, 2024
Certification dateJune 6, 2024
Mailing address1006 Arose Ln, Middletown, NJ 07748-1942

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Plover Inpatient Services Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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