Active NPIOrganization

Kennedy Medical Group Practice, P.c.

Family Medicine in Marlton, New Jersey

NPI Number1427350040
Practice location
73 N Maple Ave, Suite B, Marlton, NJ 08053-1782
Fax
856-596-4043
Last updated
October 19, 2017

Kennedy Medical Group Practice, P.c. is a healthcare organization based in Marlton, NJ. Kennedy Medical Group Practice, P.c. practices in Marlton, NJ. The NPI Number for Kennedy Medical Group Practice, P.c. is 1427350040. The current practice location address for Kennedy Medical Group Practice, P.c. is 73 N Maple Ave, Suite B, Marlton, NJ 08053-1782 and can be reached out via phone at 856-596-0558 and via fax at 856-596-4043.

Provider Profile Details

NPI Number
1427350040
Provider Name
Kennedy Medical Group Practice, P.c.
Provider Entity Type
Organization
Address
73 N Maple Ave, Suite B, Marlton, NJ 08053-1782
Phone Number
856-596-0558
Fax Number
856-596-4043
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
Yes
Parent Organization
Kennedy University Hospital
Authorized Official
Carman A Ciervo · Ceo · 856-783-1987
Provider Enumeration Date
December 2, 2010
Last Update Date
October 19, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
73 N Maple Ave
Suite B
Marlton, NJ 08053-1782
Zip
08053-1782
Phone Number
856-596-0558
Fax Number
856-596-4043
Marlton, NJ 08053Get directions →

Provider Business Mailing Address Details

Address
333 Laurel Oak RD
Voorhees, NJ 08043-4453
City
Voorhees
State
NJ
Zip
08043-4453
Phone Number
856-566-5273
Fax Number
856-566-5283

License Information

Taxonomy (1)
Internal Medicine, Gastroenterology · 207RG0100X
Taxonomy (2)
Psychiatry & Neurology, Neurology · 2084N0400X
Taxonomy (3)
Family Medicine · 207Q00000X · 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 1427350040. It was assigned on December 2, 2010 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 Family Medicine (code 207Q00000X).

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

The practice location is 73 N Maple Ave, Suite B, Marlton, NJ 08053-1782. The office can be reached at 856-596-0558 (phone) or 856-596-4043 (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 1427350040 directly on the NPPES registry website.

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