Active NPIOrganization

Kennedy Medical Group Practice, P.c.

Obstetrics & Gynecology, Obstetrics in Blackwood, New Jersey

NPI Number1932511987
Practice location
188 Fries Mill RD, Suite N3, Blackwood, NJ 08012-2015
Fax
856-875-9556
Last updated
July 1, 2015

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 1932511987. The current practice location address for Kennedy Medical Group Practice, P.c. is 188 Fries Mill RD, Suite N3, Blackwood, NJ 08012-2015 and can be reached out via phone at 856-875-0505 and via fax at 856-875-9556.

Provider Profile Details

NPI Number
1932511987
Provider Name
Kennedy Medical Group Practice, P.c.
Provider Entity Type
Organization
Address
188 Fries Mill RD, Suite N3, Blackwood, NJ 08012-2015
Phone Number
856-875-0505
Fax Number
856-875-9556
Primary Taxonomy
Obstetrics & Gynecology, Obstetrics · 207VX0000X
Organization Subpart
No
Authorized Official
Katherine Schleider · Vpclinical Integration & Population · 856-783-1987
Other Names
Kennedy Health Alliance (Doing Business As)
Provider Enumeration Date
May 27, 2014
Last Update Date
July 1, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
188 Fries Mill RD
Suite N3
Blackwood, NJ 08012-2015
Zip
08012-2015
Phone Number
856-875-0505
Fax Number
856-875-9556
Blackwood, NJ 08012Get directions →

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
856-783-1987
Fax Number
856-783-1403

License Information

License State
NJ
Taxonomy
Obstetrics & Gynecology, Obstetrics · 207VX0000X · 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 1932511987. It was assigned on May 27, 2014 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 Obstetrics & Gynecology, Obstetrics (code 207VX0000X).

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

The practice location is 188 Fries Mill RD, Suite N3, Blackwood, NJ 08012-2015. The office can be reached at 856-875-0505 (phone) or 856-875-9556 (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 1932511987 directly on the NPPES registry website.

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