Active NPIOrganization

Kennedy Medical Group Practice, P.c.

Surgery, Surgical Oncology in Sewell, New Jersey

NPI Number1043580806
Practice location
900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358
Fax
856-218-2101
Last updated
June 18, 2014

Kennedy Medical Group Practice, P.c. is a healthcare organization based in Sewell, NJ. Kennedy Medical Group Practice, P.c. practices in Sewell, NJ. The NPI Number for Kennedy Medical Group Practice, P.c. is 1043580806 and holds a License No. 25MA08651300 (NJ). The current practice location address for Kennedy Medical Group Practice, P.c. is 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 and can be reached out via phone at 856-218-2100 and via fax at 856-218-2101.

Provider Profile Details

NPI Number
1043580806
Provider Name
Kennedy Medical Group Practice, P.c.
Provider Entity Type
Organization
Address
900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358
Phone Number
856-218-2100
Fax Number
856-218-2101
Primary Taxonomy
Surgery, Surgical Oncology · 2086X0206X
Organization Subpart
Yes
Parent Organization
Kennedy Memorial Hospital University Medical Center INC.
Authorized Official
Kathy Schleider · Vp Clinical Integration · 856-783-1892
Other Names
Kennedy Health Alliance (Doing Business As)
Provider Enumeration Date
January 10, 2012
Last Update Date
June 18, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Medical Center Dr
Suite 201
Sewell, NJ 08080-2358
City
Sewell
Zip
08080-2358
Phone Number
856-218-2100
Fax Number
856-218-2101
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
900 Medical Center Dr
Suite 201
Sewell, NJ 08080-2358
City
Sewell
State
NJ
Zip
08080-2358
Phone Number
856-218-2100

License Information

License Number
25MA08651300
License State
NJ
Taxonomy
Surgery, Surgical Oncology · 2086X0206X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kennedy Medical Group Practice, P.c.?

The NPI number of Kennedy Medical Group Practice, P.c. is 1043580806. It was assigned on January 10, 2012 and is currently active in the NPPES registry.

What is the specialty of Kennedy Medical Group Practice, P.c.?

Kennedy Medical Group Practice, P.c. is registered under the primary taxonomy Surgery, Surgical Oncology (code 2086X0206X), licensed in NJ under license number 25MA08651300.

Where does Kennedy Medical Group Practice, P.c. practice?

The practice location is 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358. The office can be reached at 856-218-2100 (phone) or 856-218-2101 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043580806 directly on the NPPES registry website.

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