Kennedy Medical Group Practice P.c.
Psychologist, Prescribing (Medical) in Blackwood, New Jersey
1497295109- Practice location
- 900 Route 168, Suite C#3, Blackwood, NJ 08012-3233
- Phone
- 856-857-6920
- Fax
- —
- Last updated
- February 28, 2017
Kennedy Medical Group Practice P.c. is a healthcare organization based in Blackwood, NJ. Kennedy Medical Group Practice P.c. practices in Blackwood, NJ. The NPI Number for Kennedy Medical Group Practice P.c. is 1497295109. The current practice location address for Kennedy Medical Group Practice P.c. is 900 Route 168, Suite C#3, Blackwood, NJ 08012-3233 and can be reached out via phone at 856-857-6920.
Provider Profile Details
- NPI Number
- 1497295109
- Provider Name
- Kennedy Medical Group Practice P.c.
- Provider Entity Type
- Organization
- Address
- 900 Route 168, Suite C#3, Blackwood, NJ 08012-3233
- Phone Number
- 856-857-6920
- Primary Taxonomy
- Psychologist, Prescribing (Medical) · 103TP0016X
- Organization Subpart
- No
- Authorized Official
- Carman A Ciervo, DO · Cpe · 856-344-7360
- Other Names
- Kennedy Health Alliance (Doing Business As)
- Provider Enumeration Date
- February 28, 2017
- Last Update Date
- February 28, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 900 Route 168
Suite C#3
Blackwood, NJ 08012-3233 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-3233
- Phone Number
- 856-857-6920
Provider Business Mailing Address Details
- Address
- 900 Route 168
Suite C#3
Blackwood, NJ 08012-3233 - City
- Blackwood
- State
- NJ
- Zip
- 08012-3233
License Information
- Taxonomy (1)
- Psychologist · 103T00000X
- Taxonomy (2)
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- Taxonomy (3)
- Psychologist, Prescribing (Medical) · 103TP0016X · 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 1497295109. It was assigned on February 28, 2017 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 Psychologist, Prescribing (Medical) (code 103TP0016X).
Where does Kennedy Medical Group Practice P.c. practice?
The practice location is 900 Route 168, Suite C#3, Blackwood, NJ 08012-3233. The office can be reached at 856-857-6920 (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 1497295109 directly on the NPPES registry website.