Active NPIOrganization

Kennedy Medical Group Practice, P.c.

Healthcare Provider in Sewell, New Jersey

NPI Number1093051468
Practice location
900 Medical Center Dr Ste 100, Sewell, NJ 08080-2358
Fax
856-582-3009
Last updated
March 17, 2018

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 1093051468. The current practice location address for Kennedy Medical Group Practice, P.c. is 900 Medical Center Dr Ste 100, Sewell, NJ 08080-2358 and can be reached out via phone at 856-582-3008 and via fax at 856-582-3009.

Provider Profile Details

NPI Number
1093051468
Provider Name
Kennedy Medical Group Practice, P.c.
Provider Entity Type
Organization
Address
900 Medical Center Dr Ste 100, Sewell, NJ 08080-2358
Phone Number
856-582-3008
Fax Number
856-582-3009
Primary Taxonomy
Healthcare Provider · 2085R0001X
Organization Subpart
No
Authorized Official
Carman A Ciervo · Cpe · 856-783-1987
Provider Enumeration Date
December 12, 2012
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Medical Center Dr Ste 100
Sewell, NJ 08080-2358
City
Sewell
Zip
08080-2358
Phone Number
856-582-3008
Fax Number
856-582-3009
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
457 Haddonfield RD Ste 110
Liberty View Cherry Hill
Cherry Hill, NJ 08002-2223
City
Cherry Hill
State
NJ
Zip
08002-2223
Phone Number
856-406-4091

License Information

Taxonomy
· 2085R0001X · 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 1093051468. It was assigned on December 12, 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 Healthcare Provider (code 2085R0001X).

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

The practice location is 900 Medical Center Dr Ste 100, Sewell, NJ 08080-2358. The office can be reached at 856-582-3008 (phone) or 856-582-3009 (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 1093051468 directly on the NPPES registry website.

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