Kennedy Medical Group Practice, P.c.
Family Medicine in Stratford, New Jersey
1437410990- Practice location
- 205 E Laurel RD, 2ND Floor, Stratford, NJ 08084-1301
- Phone
- 856-816-0255
- Fax
- —
- Last updated
- November 18, 2020
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 1437410990. The current practice location address for Kennedy Medical Group Practice, P.c. is 205 E Laurel RD, 2ND Floor, Stratford, NJ 08084-1301 and can be reached out via phone at 856-816-0255.
Provider Profile Details
- NPI Number
- 1437410990
- Provider Name
- Kennedy Medical Group Practice, P.c.
- Provider Entity Type
- Organization
- Address
- 205 E Laurel RD, 2ND Floor, Stratford, NJ 08084-1301
- Phone Number
- 856-816-0255
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Ricardo Perez · Vice President Of Clinical Operatio · 856-218-5634
- Other Names
- Kennedy Health Alliance (Doing Business As)
- Provider Enumeration Date
- May 31, 2012
- Last Update Date
- November 18, 2020
- Certification Date
- November 18, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 205 E Laurel RD
2ND Floor
Stratford, NJ 08084-1301 - City
- Stratford
- State
- New Jersey
- Zip
- 08084-1301
- Phone Number
- 856-816-0255
Provider Business Mailing Address Details
- Address
- 400 Laurel Oak RD Ste 105
Voorhees, NJ 08043-4455 - City
- Voorhees
- State
- NJ
- Zip
- 08043-4455
- Phone Number
- 856-922-9894
- Fax Number
- 856-922-9890
License Information
- Taxonomy (2)
- Internal Medicine · 207R00000X
- Taxonomy (3)
- Obstetrics & Gynecology · 207V00000X
- Taxonomy (4)
- Psychiatry & Neurology, Neurology · 2084N0400X
- Taxonomy (5)
- Surgery · 208600000X
- Taxonomy (6)
- Family Medicine · 207Q00000X · 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 1437410990. It was assigned on May 31, 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 Family Medicine (code 207Q00000X).
Where does Kennedy Medical Group Practice, P.c. practice?
The practice location is 205 E Laurel RD, 2ND Floor, Stratford, NJ 08084-1301. The office can be reached at 856-816-0255 (phone).
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 1437410990 directly on the NPPES registry website.