Active NPIOrganization

Kennedy Medical Group Practice P.c.

Family Medicine in Turnersville, New Jersey

NPI Number1881987337
Practice location
1 A Regulus Drive, Turnersville, NJ 08012
Fax
856-256-7518
Last updated
October 19, 2017

Kennedy Medical Group Practice P.c. is a healthcare organization based in Turnersville, NJ. Kennedy Medical Group Practice P.c. practices in Turnersville, NJ. The NPI Number for Kennedy Medical Group Practice P.c. is 1881987337 and holds a License No. 25MB05175300 (NJ). The current practice location address for Kennedy Medical Group Practice P.c. is 1 A Regulus Drive, Turnersville, NJ 08012 and can be reached out via phone at 856-256-7513 and via fax at 856-256-7518.

Provider Profile Details

NPI Number
1881987337
Provider Name
Kennedy Medical Group Practice P.c.
Provider Entity Type
Organization
Address
1 A Regulus Drive, Turnersville, NJ 08012
Phone Number
856-256-7513
Fax Number
856-256-7518
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
Yes
Parent Organization
Kennedy Health System
Authorized Official
Carman A Ciervo · Ceo · 856-783-1987
Provider Enumeration Date
May 17, 2011
Last Update Date
October 19, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 A Regulus Drive
Turnersville, NJ 08012
Zip
08012
Phone Number
856-256-7513
Fax Number
856-256-7518
Turnersville, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
1 A Regulus Drive
Turnersville, NJ 08012
City
Turnersville
State
NJ
Zip
08012
Phone Number
856-256-7513
Fax Number
856-256-7518

License Information

Taxonomy (2)
· 2086S0129X
License Number (3)
25MB05175300
License State (3)
NJ
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 1881987337. It was assigned on May 17, 2011 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), licensed in NJ under license number 25MB05175300.

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

The practice location is 1 A Regulus Drive, Turnersville, NJ 08012. The office can be reached at 856-256-7513 (phone) or 856-256-7518 (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 1881987337 directly on the NPPES registry website.

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