KENNEDY MEDICAL GROUP PRACTICE, P.C. (NPI# 1003281080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003281080 |
| Entity Type | Organization |
| Organization Name | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Other Organization Name | KENNEDY HEALTH ALLIANCE |
| Practice Address |
570 Egg Harbor Rd Suite C-2 Sewell NJ 08080-2359 |
| Mailing Address |
333 Laurel Oak Rd Voorhees NJ 08043-4453 |
| Practice Telephone | 8567831987 |
| Practice Fax Number | 8567831403 |
| Mailing Telephone | 8567831987 |
| Mailing Fax Number | 8567831403 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |
| Authorized Official Name | KATHERINE SCHLEIDER (VP) |
| Authorized Official Telephone | 8567831987 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kennedy Health Alliance | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669847646 | Kennedy Medical Group Practice, P.C. | Internal Medicine | 2211 Chapel Ave West, Ste 301, Cherry Hill, NJ 08002 | 2015-12-02 |
| 1578975520 | Kennedy Medical Group Practice, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 485 Williamstown Road, Sicklerville, NJ 08081 | 2014-05-27 |
| 1629343421 | Kennedy Medical Group Practice, P.C. | Surgery | 543 Egg Harbor Road, Sewell, NJ 08080-2335 | 2012-03-13 |
| 1558727677 | Kennedy Medical Group Practice, P.C. | Surgery | 333 Laurel Oak Rd, Voorhees, NJ 08043-4453 | 2016-01-05 |
| 1346615333 | Kennedy Medical Group Practice, P.C. | Internal Medicine | 457 Haddonfield Rd, Ste. 110, Cherry Hill, NJ 08002-2220 | 2015-12-02 |
| 1902271992 | Kennedy Medical Group Practice, P.C. | Surgery | 668 Main St, Ste. 4, Lumberton, NJ 08048-5016 | 2015-12-02 |
| 1932511987 | Kennedy Medical Group Practice, P.C. | Obstetrics & Gynecology | 188 Fries Mill Rd, Suite N3, Blackwood, NJ 08012-2015 | 2014-05-27 |
| 1164834297 | Kennedy Medical Group Practice, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2301 Evesham Road, Suite 406, Voorhees, NJ 08043 | 2014-05-23 |
| 1255743357 | Kennedy Medical Group Practice, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 524 Williamstown Road, Sicklerville, NJ 08081 | 2014-05-22 |
| 1952726796 | Kennedy Medical Group Practice, P.C. | Hospitalist | 333 Laurel Oak Rd, Voorhees, NJ 08043-4453 | 2014-03-04 |
| Street Address |
570 EGG HARBOR RD SUITE C-2 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569265 | Jeffrey Peter Kovacs | Orthopaedic Surgery | 570 Egg Harbor Rd, Suite C4, Sewell, NJ 08080-2359 | 2005-06-27 |
| 1336515360 | Megan Andrade | Physical Therapist | 570 Egg Harbor Rd, Suite B6, Sewell, NJ 08080-2359 | 2015-08-13 |
| 1891191201 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 570 Egg Harbor Rd, Suite C-4, Sewell, NJ 08080-2359 | 2014-11-12 |
| 1992128094 | Amanda O'loughlin | Physical Therapist | 570 Egg Harbor Rd, Suite B6, Sewell, NJ 08080-2359 | 2014-01-24 |
| 1568896579 | Ashley Nelson | Physical Therapist | 570 Egg Harbor Rd, Suite B6, Sewell, NJ 08080-2359 | 2013-08-27 |
| 1609200070 | Ariel Dubois | Physical Therapist | 570 Egg Harbor Rd, Sewell, NJ 08080-2359 | 2013-08-21 |
| 1780925354 | Theresa Marie Campanella | Physical Therapist | 570 Egg Harbor Rd, Suite B6, Sewell, NJ 08080-2359 | 2013-03-07 |
| 1811248057 | Agwanda M Hickman | Nurse Practitioner | 570 Egg Harbor Rd, C2, Sewell, NJ 08080-2359 | 2012-09-27 |
| 1912256421 | Adam P Dezii | Physical Therapist | 570 Egg Harbor Rd, Suite B-6, Sewell, NJ 08080-2359 | 2012-08-30 |
| 1326336694 | Richard G. Hubler Jr. | Physical Therapist | 570 Egg Harbor Rd, Harbor Pavillions Suite B6, Sewell, NJ 08080-2359 | 2011-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720294069 | Jay Steinberg | Surgery | 400 Medical Center Dr Ste F, Sewell, NJ 08080 | 2007-05-15 |
| 1336200377 | Michael J. Sasso Do PC | Surgery | 338 Hurffville Cross Keys Road, Sewell, NJ 08080-9202 | 2006-12-13 |
| 1568469153 | Michael J Sasso | Surgery | 338 Hurffville Crosskeys Rd, Sewell, NJ 08080-9202 | 2005-06-28 |
| 1134557143 | Advocare, LLC | Surgery | 338 Hurffville Crosskeys Rd, Sewell, NJ 08080-9202 | 2013-10-30 |
| 1992092662 | Christopher Michael Bariana | Surgery | 400 Medical Center Dr Ste F, Sewell, NJ 08080 | 2011-07-01 |
| 1912166919 | Eduardo Careaga | Surgery | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2008-06-04 |
| 1013054725 | David C Hon | Surgery | 239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ 08080-4005 | 2007-01-31 |
| 1861462939 | Louis H Balsama | Surgery | 338 Hurffville Crosskeys Rd, Sewell, NJ 08080-9202 | 2006-01-23 |
| 1114924586 | Louis M Gallo | Surgery | 338 Hurffville Crosskeys Rd, Sewell, NJ 08080-9202 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002867 | Herrmann Rnfa LLC | Surgery | 37 Center Ave, Cedar Grove, NJ 07009-1015 | 2020-08-04 |
| 1003437492 | New Jersey Robotic Surgery Associates PC | Surgery | 114 Essex St Ste 102, Rochelle Park, NJ 07662-4342 | 2020-04-27 |
| 1386273803 | Felere Cherfils | Surgery | 10 Wyckoff Dr, Pittstown, NJ 08867-4236 | 2020-04-06 |
| 1841829983 | Naeem Patel | Surgery | 1209 89th St, North Bergen, NJ 07047-4462 | 2020-04-01 |
| 1184255119 | Impact Medical & Diagnostics of Nj PC | Surgery | 145 N Franklin Tpke Ste 106, Ramsey, NJ 07446-1634 | 2020-01-29 |
| 1598316143 | Heritage Laparoscopy Acute Care Surgery PC | Surgery | 9 Post Rd Ste M7, Oakland, NJ 07436-1615 | 2019-09-25 |
| 1013570506 | Atlanticare Center for Orthopedic Surgery | Surgery | 2500 English Creek Ave Ste 1201, Egg Harbor Twp, NJ 08234-5549 | 2019-04-19 |
| 1881157550 | Somerset Surgical Associates,llc | Surgery | 575 Route 28 # 3107, Raritan, NJ 08869-1354 | 2019-04-10 |
| 1154884203 | Buchholz Bariatrics | Surgery | 1647 Bay Ave, Point Pleasant Boro, NJ 08742-4501 | 2019-04-07 |
| 1023589553 | L.i.v. Medical Hydration Therapy LLC | Surgery | 201 3rd Ave Apt 3b, Belmar, NJ 07719-2050 | 2018-12-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.