Kennedy Medical Group Practice, P.c.
Healthcare Provider in Sewell, New Jersey
1629343421- Practice location
- 543 Egg Harbor Road, Sewell, NJ 08080-2335
- Phone
- 856-256-2063
- Fax
- 856-256-2064
- Last updated
- June 18, 2014
Kennedy Medical Group Practice, P.c. is a healthcare organization based in Sewell, NJ. Kennedy Medical Group Practice, P.c. practices in Sewell, NJ. The NPI Number for Kennedy Medical Group Practice, P.c. is 1629343421 and holds a License No. 25MA09025500 (NJ). The current practice location address for Kennedy Medical Group Practice, P.c. is 543 Egg Harbor Road, Sewell, NJ 08080-2335 and can be reached out via phone at 856-256-2063 and via fax at 856-256-2064.
Provider Profile Details
- NPI Number
- 1629343421
- Provider Name
- Kennedy Medical Group Practice, P.c.
- Provider Entity Type
- Organization
- Address
- 543 Egg Harbor Road, Sewell, NJ 08080-2335
- Phone Number
- 856-256-2063
- Fax Number
- 856-256-2064
- Primary Taxonomy
- Healthcare Provider · 2086S0129X
- Organization Subpart
- Yes
- Parent Organization
- Kennedy Memorial Hospital University Medical Center INC.
- Authorized Official
- Katherine Katherine · Vp Clinical Integration · 856-783-1982
- Other Names
- Kennedy Health Alliance (Doing Business As)
- Provider Enumeration Date
- March 13, 2012
- Last Update Date
- June 18, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 543 Egg Harbor Road
Sewell, NJ 08080-2335 - City
- Sewell
- State
- New Jersey
- Zip
- 08080-2335
- Phone Number
- 856-256-2063
- Fax Number
- 856-256-2064
Provider Business Mailing Address Details
- Address
- 205 E Laurel RD
2ND Floor
Stratford, NJ 08084-1301 - City
- Stratford
- State
- NJ
- Zip
- 08084-1301
- Phone Number
- 856-783-1892
- Fax Number
- 856-783-1403
License Information
- License Number
- 25MA09025500
- License State
- NJ
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 1629343421. It was assigned on March 13, 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 Healthcare Provider (code 2086S0129X), licensed in NJ under license number 25MA09025500.
Where does Kennedy Medical Group Practice, P.c. practice?
The practice location is 543 Egg Harbor Road, Sewell, NJ 08080-2335. The office can be reached at 856-256-2063 (phone) or 856-256-2064 (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 1629343421 directly on the NPPES registry website.