Kennedy Medical Group Practice P.c.
Family Medicine in West Deptford, New Jersey
1952615981- Practice location
- 165 Princeton Ave, West Deptford, West Deptford, NJ 08096-3123
- Phone
- 856-384-0210
- Fax
- 856-384-0218
- Last updated
- July 10, 2014
Kennedy Medical Group Practice P.c. is a healthcare organization based in West Deptford, NJ. Kennedy Medical Group Practice P.c. practices in West Deptford, NJ. The NPI Number for Kennedy Medical Group Practice P.c. is 1952615981 and holds a License No. 25MB08173000 (NJ). The current practice location address for Kennedy Medical Group Practice P.c. is 165 Princeton Ave, West Deptford, West Deptford, NJ 08096-3123 and can be reached out via phone at 856-384-0210 and via fax at 856-384-0218.
Provider Profile Details
- NPI Number
- 1952615981
- Provider Name
- Kennedy Medical Group Practice P.c.
- Provider Entity Type
- Organization
- Address
- 165 Princeton Ave, West Deptford, West Deptford, NJ 08096-3123
- Phone Number
- 856-384-0210
- Fax Number
- 856-384-0218
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- Yes
- Parent Organization
- Kennedy University Hospital
- Authorized Official
- Katherine Schleider · Vp Clinical Integration · 856-783-1892
- Other Names
- Kennedy Health Alliance (Doing Business As)
- Provider Enumeration Date
- August 2, 2010
- Last Update Date
- July 10, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 165 Princeton Ave
West Deptford
West Deptford, NJ 08096-3123 - City
- West Deptford
- State
- New Jersey
- Zip
- 08096-3123
- Phone Number
- 856-384-0210
- Fax Number
- 856-384-0218
Provider Business Mailing Address Details
- Address
- 205 E. Laurel Road
Stratford, NJ 08084 - City
- Stratford
- State
- NJ
- Zip
- 08084
- Phone Number
- 856-783-1987
- Fax Number
- 856-783-1403
License Information
- License Number
- 25MB08173000
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near West Deptford, NJ
View all Family Medicine providers in West Deptford →- Dr. Frank Anthony P Aliganga, MDFamily Medicine · NPI 1306281084
- Dr. Irving J Klein, DOFamily Medicine · NPI 1659378321
- Dr. Jay S Rosen, MDFamily Medicine · NPI 1720139736
- Dr. John J Gartland Jr., MDFamily Medicine · NPI 1417045030
- Dr. Michael S Rogers, MDFamily Medicine · NPI 1184684268
- Dr. Tahseen R Malik, MDFamily Medicine · NPI 1447561121
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 1952615981. It was assigned on August 2, 2010 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 25MB08173000.
Where does Kennedy Medical Group Practice P.c. practice?
The practice location is 165 Princeton Ave, West Deptford, West Deptford, NJ 08096-3123. The office can be reached at 856-384-0210 (phone) or 856-384-0218 (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 1952615981 directly on the NPPES registry website.