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

Kevin Cannavina

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356924849

Kevin Cannavina is an Obstetrics/Gynecology in Union, New Jersey. Graduated from Lake Erie Col of Osteo Med at Seton Hill Univ in 2021, 5 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Trained at
Lake Erie Col of Osteo Med at Seton Hill Univ
Licensed in
NJ
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1896 Morris Ave
Union, NJ 07083-3535
Phone: (908) 687-8282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 148 Sun Valley Way, Morris Plains, NJ 07950-2042 — (862) 812-5323

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 25MB12788000 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356924849
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2021
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolLAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduated 2021 (5 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Union