Active NPIOrganization

Kennedy Medical Group Practice, P.c.

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Voorhees, New Jersey

NPI Number1164834297
Practice location
2301 Evesham Road, Suite 406, Voorhees, NJ 08043
Fax
856-772-9650
Last updated
May 23, 2014

Kennedy Medical Group Practice, P.c. is a healthcare organization based in Voorhees, NJ. Kennedy Medical Group Practice, P.c. practices in Voorhees, NJ. The NPI Number for Kennedy Medical Group Practice, P.c. is 1164834297 and holds a License No. 25MB083854300 (NJ). The current practice location address for Kennedy Medical Group Practice, P.c. is 2301 Evesham Road, Suite 406, Voorhees, NJ 08043 and can be reached out via phone at 856-772-9600 and via fax at 856-772-9650.

Provider Profile Details

NPI Number
1164834297
Provider Name
Kennedy Medical Group Practice, P.c.
Provider Entity Type
Organization
Address
2301 Evesham Road, Suite 406, Voorhees, NJ 08043
Phone Number
856-772-9600
Fax Number
856-772-9650
Organization Subpart
Yes
Parent Organization
Kennedy Medical Group Practice, P.c.
Authorized Official
Katherine Schleider · Vpclinical Integration & Population · 856-783-1987
Other Names
D/B/A/ Kennedy Health Alliance (Doing Business As)
Provider Enumeration Date
May 23, 2014
Last Update Date
May 23, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
2301 Evesham Road
Suite 406
Voorhees, NJ 08043
Zip
08043
Phone Number
856-772-9600
Fax Number
856-772-9650
Voorhees, NJ 08043Get directions →

Provider Business Mailing Address Details

Address
205 E. Laurel Road
2ND Floor
Stratford, NJ 08084
City
Stratford
State
NJ
Zip
08084
Phone Number
856-783-1987
Fax Number
856-783-1403

License Information

License Number
25MB083854300
License State
NJ

Legacy Identifiers

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

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers near Voorhees, NJ

View all Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Voorhees →

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 1164834297. It was assigned on May 23, 2014 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 Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in NJ under license number 25MB083854300.

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

The practice location is 2301 Evesham Road, Suite 406, Voorhees, NJ 08043. The office can be reached at 856-772-9600 (phone) or 856-772-9650 (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 1164834297 directly on the NPPES registry website.

Browse related providers