Active NPIOrganization

Kennedy Medical Group Practice P.c.

Internal Medicine in Woodbury, New Jersey

NPI Number1942746367
Practice location
159 S Broad St, Woodbury, NJ 08096-2410
Fax
—
Last updated
October 19, 2017

Kennedy Medical Group Practice P.c. is a healthcare organization based in Woodbury, NJ. Kennedy Medical Group Practice P.c. practices in Woodbury, NJ. The NPI Number for Kennedy Medical Group Practice P.c. is 1942746367. The current practice location address for Kennedy Medical Group Practice P.c. is 159 S Broad St, Woodbury, NJ 08096-2410 and can be reached out via phone at 844-542-2273.

Provider Profile Details

NPI Number
1942746367
Provider Name
Kennedy Medical Group Practice P.c.
Provider Entity Type
Organization
Address
159 S Broad St, Woodbury, NJ 08096-2410
Phone Number
844-542-2273
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Carman A Ciervo, DO · Cpe · 856-344-7360
Other Names
Kennedy Health Alliance (Doing Business As)
Provider Enumeration Date
January 9, 2017
Last Update Date
October 19, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
159 S Broad St
Woodbury, NJ 08096-2410
Zip
08096-2410
Phone Number
844-542-2273
Woodbury, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
205 E Laurel RD
Stratford, NJ 08084-1301
City
Stratford
State
NJ
Zip
08084-1301
Phone Number
856-344-7360
Fax Number
856-344-2315

License Information

Taxonomy (1)
Family Medicine · 207Q00000X
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X
Taxonomy (3)
· 2086S0129X
Taxonomy (4)
Internal Medicine · 207R00000X · 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 1942746367. It was assigned on January 9, 2017 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 Internal Medicine (code 207R00000X).

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

The practice location is 159 S Broad St, Woodbury, NJ 08096-2410. The office can be reached at 844-542-2273 (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 1942746367 directly on the NPPES registry website.

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