Active NPIOrganization

Kennedy Medical Group Practice, P.c.

Internal Medicine in Stratford, New Jersey

NPI Number1205114071
Practice location
205 E Laurel RD, 1ST Floor, Stratford, NJ 08084-1301
Fax
856-783-0649
Last updated
June 18, 2014

Kennedy Medical Group Practice, P.c. is a healthcare organization based in Stratford, NJ. Kennedy Medical Group Practice, P.c. practices in Stratford, NJ. The NPI Number for Kennedy Medical Group Practice, P.c. is 1205114071 and holds a License No. 25MB05920500 (NJ). The current practice location address for Kennedy Medical Group Practice, P.c. is 205 E Laurel RD, 1ST Floor, Stratford, NJ 08084-1301 and can be reached out via phone at 856-783-0870 and via fax at 856-783-0649.

Provider Profile Details

NPI Number
1205114071
Provider Name
Kennedy Medical Group Practice, P.c.
Provider Entity Type
Organization
Address
205 E Laurel RD, 1ST Floor, Stratford, NJ 08084-1301
Phone Number
856-783-0870
Fax Number
856-783-0649
Primary Taxonomy
Internal Medicine · 207R00000X
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
July 28, 2011
Last Update Date
June 18, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
205 E Laurel RD
1ST Floor
Stratford, NJ 08084-1301
Zip
08084-1301
Phone Number
856-783-0870
Fax Number
856-783-0649
Stratford, NJ 08084Get directions →

Provider Business Mailing Address Details

Address
205 E Laurel RD
1ST Floor
Stratford, NJ 08084-1301
City
Stratford
State
NJ
Zip
08084-1301
Phone Number
856-783-0870
Fax Number
856-783-1403

License Information

License Number
25MB05920500
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 1205114071. It was assigned on July 28, 2011 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 Internal Medicine (code 207R00000X), licensed in NJ under license number 25MB05920500.

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

The practice location is 205 E Laurel RD, 1ST Floor, Stratford, NJ 08084-1301. The office can be reached at 856-783-0870 (phone) or 856-783-0649 (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 1205114071 directly on the NPPES registry website.

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