Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keiley Cornell Indivero, PA-C

Individual provider Physician Assistant · NPI 1285060657

Keiley Cornell Indivero, PA-C is a Physician Assistant in Jersey City, New Jersey. Qualified in 2013, 13 years ago. Practices with Rwjbh Observation Associates LLC, a 971-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
13
Licensed in
NJ, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

355 Grand St
Jersey City, NJ 07302-4321
Phone: (315) 915-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1285060657 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 017000 (NY)

Record details

NPI number1285060657
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2013
Last updated in NPPESMay 19, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Rwjbh Observation Associates Llc — 971 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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