Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Suraj Depani

Individual provider Physician Assistant · NPI 1558242859

Suraj Depani is a Physician Assistant in Cherry Hill, New Jersey. Qualified in 2025, 1 year ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
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Practice location Address checks out

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone: (856) 328-7890
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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 25MP00972100 (NJ)

Record details

NPI number1558242859
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2025
Last updated in NPPESFebruary 1, 2026
Certification dateFebruary 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Kennedy Medical Group Practice, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 414 clinicians in the practice; 12 are shown here.

Other providers in Cherry Hill