Active NPIOrganization

Kennedy Medical Group Practice, PC

Internal Medicine, Gastroenterology in West Deptford, New Jersey

NPI Number1932564622
Practice location
165 Princeton Ave, West Deptford, NJ 08096-3123
Fax
856-783-1403
Last updated
January 6, 2016

Kennedy Medical Group Practice, PC is a healthcare organization based in West Deptford, NJ. Kennedy Medical Group Practice, PC practices in West Deptford, NJ. The NPI Number for Kennedy Medical Group Practice, PC is 1932564622. The current practice location address for Kennedy Medical Group Practice, PC is 165 Princeton Ave, West Deptford, NJ 08096-3123 and can be reached out via phone at 856-783-1987 and via fax at 856-783-1403.

Provider Profile Details

NPI Number
1932564622
Provider Name
Kennedy Medical Group Practice, PC
Provider Entity Type
Organization
Address
165 Princeton Ave, West Deptford, NJ 08096-3123
Phone Number
856-783-1987
Fax Number
856-783-1403
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
No
Authorized Official
Katherine Schleider, RN · Vp Clinical Integration&pop.health · 856-783-1987
Other Names
Kennedy Health Alliance (Doing Business As)
Provider Enumeration Date
December 22, 2015
Last Update Date
January 6, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
165 Princeton Ave
West Deptford, NJ 08096-3123
Zip
08096-3123
Phone Number
856-783-1987
Fax Number
856-783-1403
West Deptford, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
333 Laurel Oak RD
Voorhees, NJ 08043-4453
City
Voorhees
State
NJ
Zip
08043-4453
Phone Number
856-783-1987
Fax Number
856-783-1403

License Information

Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · 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, PC?

The NPI number of Kennedy Medical Group Practice, PC is 1932564622. It was assigned on December 22, 2015 and is currently active in the NPPES registry.

What is the specialty of Kennedy Medical Group Practice, PC?

Kennedy Medical Group Practice, PC is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X).

Where does Kennedy Medical Group Practice, PC practice?

The practice location is 165 Princeton Ave, West Deptford, NJ 08096-3123. The office can be reached at 856-783-1987 (phone) or 856-783-1403 (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 1932564622 directly on the NPPES registry website.

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