Active NPIOrganization

Kennedy Medical Group Practice, P.c. D/B/A Kennedy Health Alliance

Family Medicine in Sicklerville, New Jersey

NPI Number1902217607
Practice location
1300 Liberty Pl, Sicklerville, NJ 08081-5710
Fax
—
Last updated
August 18, 2014

Kennedy Medical Group Practice, P.c. D/B/A Kennedy Health Alliance is a healthcare organization based in Sicklerville, NJ. Kennedy Medical Group Practice, P.c. D/B/A Kennedy Health Alliance practices in Sicklerville, NJ. The NPI Number for Kennedy Medical Group Practice, P.c. D/B/A Kennedy Health Alliance is 1902217607 and holds a License No. 26NJ00504300 (NJ). The current practice location address for Kennedy Medical Group Practice, P.c. D/B/A Kennedy Health Alliance is 1300 Liberty Pl, Sicklerville, NJ 08081-5710 and can be reached out via phone at 856-262-8100.

Provider Profile Details

NPI Number
1902217607
Provider Name
Kennedy Medical Group Practice, P.c. D/B/A Kennedy Health Alliance
Provider Entity Type
Organization
Address
1300 Liberty Pl, Sicklerville, NJ 08081-5710
Phone Number
856-262-8100
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Amanda Marie Fox, FNP-C · NP · 856-262-8100
Provider Enumeration Date
May 15, 2014
Last Update Date
August 18, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1300 Liberty Pl
Sicklerville, NJ 08081-5710
Zip
08081-5710
Phone Number
856-262-8100
Sicklerville, NJ 08081Get directions →

Provider Business Mailing Address Details

Address
1300 Liberty Pl
Sicklerville, NJ 08081-5710
City
Sicklerville
State
NJ
Zip
08081-5710
Phone Number
856-262-8100
Fax Number
856-885-6859

License Information

License Number
26NJ00504300
License State
NJ
Taxonomy
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. D/B/A Kennedy Health Alliance?

The NPI number of Kennedy Medical Group Practice, P.c. D/B/A Kennedy Health Alliance is 1902217607. It was assigned on May 15, 2014 and is currently active in the NPPES registry.

What is the specialty of Kennedy Medical Group Practice, P.c. D/B/A Kennedy Health Alliance?

Kennedy Medical Group Practice, P.c. D/B/A Kennedy Health Alliance is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 26NJ00504300.

Where does Kennedy Medical Group Practice, P.c. D/B/A Kennedy Health Alliance practice?

The practice location is 1300 Liberty Pl, Sicklerville, NJ 08081-5710. The office can be reached at 856-262-8100 (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 1902217607 directly on the NPPES registry website.

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