Kennedy Medical Group Practice, P.c.
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Sicklerville, New Jersey
1255743357- Practice location
- 524 Williamstown Road, Sicklerville, NJ 08081
- Phone
- 856-772-9600
- Fax
- 856-772-9650
- Last updated
- May 22, 2014
Kennedy Medical Group Practice, P.c. is a healthcare organization based in Sicklerville, NJ. Kennedy Medical Group Practice, P.c. practices in Sicklerville, NJ. The NPI Number for Kennedy Medical Group Practice, P.c. is 1255743357 and holds a License No. 25MB03854300 (NJ). The current practice location address for Kennedy Medical Group Practice, P.c. is 524 Williamstown Road, Sicklerville, NJ 08081 and can be reached out via phone at 856-772-9600 and via fax at 856-772-9650.
Provider Profile Details
- NPI Number
- 1255743357
- Provider Name
- Kennedy Medical Group Practice, P.c.
- Provider Entity Type
- Organization
- Address
- 524 Williamstown Road, Sicklerville, NJ 08081
- Phone Number
- 856-772-9600
- Fax Number
- 856-772-9650
- Primary Taxonomy
- Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X
- 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 22, 2014
- Last Update Date
- May 22, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 524 Williamstown Road
Sicklerville, NJ 08081 - City
- Sicklerville
- State
- New Jersey
- Zip
- 08081
- Phone Number
- 856-772-9600
- Fax Number
- 856-772-9650
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
- 25MB03854300
- License State
- NJ
- Taxonomy
- Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 1255743357. It was assigned on May 22, 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 25MB03854300.
Where does Kennedy Medical Group Practice, P.c. practice?
The practice location is 524 Williamstown Road, Sicklerville, NJ 08081. 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 1255743357 directly on the NPPES registry website.