Kennedy Medical Group Practice PC
Family Medicine in Sewell, New Jersey
1952848905- Practice location
- 100 Kings Way E, Suite D2, Sewell, NJ 08080-2237
- Phone
- 856-218-7730
- Fax
- 856-218-4808
- Last updated
- January 30, 2017
Kennedy Medical Group Practice PC is a healthcare organization based in Sewell, NJ. Kennedy Medical Group Practice PC practices in Sewell, NJ. The NPI Number for Kennedy Medical Group Practice PC is 1952848905 and holds a License No. 25MA04155300 (NJ). The current practice location address for Kennedy Medical Group Practice PC is 100 Kings Way E, Suite D2, Sewell, NJ 08080-2237 and can be reached out via phone at 856-218-7730 and via fax at 856-218-4808.
Provider Profile Details
- NPI Number
- 1952848905
- Provider Name
- Kennedy Medical Group Practice PC
- Provider Entity Type
- Organization
- Address
- 100 Kings Way E, Suite D2, Sewell, NJ 08080-2237
- Phone Number
- 856-218-7730
- Fax Number
- 856-218-4808
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Carmen Ciervo, DO · Chief Executive Officer · 856-566-5202
- Other Names
- Kennedy Health Alliance (Doing Business As)
- Provider Enumeration Date
- January 30, 2017
- Last Update Date
- January 30, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Kings Way E
Suite D2
Sewell, NJ 08080-2237 - City
- Sewell
- State
- New Jersey
- Zip
- 08080-2237
- Phone Number
- 856-218-7730
- Fax Number
- 856-218-4808
Provider Business Mailing Address Details
- Address
- 1099 White Horse RD
Voorhees, NJ 08043-4405 - City
- Voorhees
- State
- NJ
- Zip
- 08043-4405
- Phone Number
- 856-566-5202
License Information
- License Number
- 25MA04155300
- 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 Sewell, NJ
View all Family Medicine providers in Sewell →- Advocare, LLCFamily Medicine · NPI 1992059661
- Anne C Jones, DOFamily Medicine · NPI 1528222155
- Atrium Two Family Practice Associates, P.a.Family Medicine · NPI 1790724961
- Cooper Family Medicine PCFamily Medicine · NPI 1962616763
- Craig BoberFamily Medicine · NPI 1639583990
- Danielle Brenza, DOFamily Medicine · NPI 1124047253
Frequently Asked Questions
What is the NPI number of Kennedy Medical Group Practice PC?
The NPI number of Kennedy Medical Group Practice PC is 1952848905. It was assigned on January 30, 2017 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 Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA04155300.
Where does Kennedy Medical Group Practice PC practice?
The practice location is 100 Kings Way E, Suite D2, Sewell, NJ 08080-2237. The office can be reached at 856-218-7730 (phone) or 856-218-4808 (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 1952848905 directly on the NPPES registry website.