KENNEDY UNIVERSITY HOSPITAL, INC.


Address: 1 Somerdale Sq, Somerdale, NJ 08083-1345
Phone: 8565575555

KENNEDY UNIVERSITY HOSPITAL, INC. (NPI# 1295751832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295751832
Entity Type Organization
Organization Name KENNEDY UNIVERSITY HOSPITAL, INC.
Other Organization Name KENNEDY FAMILY HEALTH SERVICES
Practice Address 1 Somerdale Sq
Somerdale
NJ 08083-1345
Practice Telephone 8565575555
Practice Fax Number 8565668944
Mailing Telephone 8565575555
Mailing Fax Number 8565668942
Enumeration Date 2006-07-15
Last Update Date 2020-03-04
Authorized Official Name MRS. MICHELLE SILLS (OFFICE MANAGER)
Authorized Official Telephone 8565575555
Is Organization Subpart Y
Parent Organization Name KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 10403 NJ Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology 10403 NJ Allopathic & Osteopathic Physicians
Y 261QP2300X Clinic/Center
Specialization: Primary Care
10403 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 4140222 05
NJ 6843301 05

Other Provider/Organization Names

Other Name Type Code
KENNEDY FAMILY HEALTH SERVICES Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851771117 Kennedy University Hospital, Inc. Obstetrics & Gynecology 188 Fries Mill Rd, Suite N-1, Turnersville, NJ 08012-2015 2015-06-02

Office Location

Street Address 1 SOMERDALE SQ
City SOMERDALE
State NJ
Zip Code 08083-1345

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245218163 Diana L Scott Obstetrics & Gynecology 1 Somerdale Sq, Somerdale, NJ 08083 2006-01-03
1033690318 Natasha Halyard Nurse Practitioner 1 Somerdale Sq, Somerdale, NJ 08083-1345 2018-08-24
1568902146 Kennedy University Hospital, Inc Podiatrist 1 Somerdale Sq, Somerdale, NJ 08083-1345 2017-03-02
1629481023 Xiomara Penn-becoat Pediatrics 1 Somerdale Sq, Somerdale, NJ 08083-1345 2014-06-04
1366727281 Kennedy University Hospitals Urology 1 Somerdale Sq, Somerdale, NJ 08083-1345 2011-10-12
1023391612 Andrew Scott Blackstone Urology 1 Somerdale Sq, Somerdale, NJ 08083-1345 2011-09-21
1942511837 Melissa Lehn Suarez Obstetrics & Gynecology 1 Somerdale Sq, Somerdale, NJ 08083-1345 2010-06-25
1144425554 Catherine M Gerety Nurse Practitioner 1 Somerdale Sq, Somerdale, NJ 08083-1345 2007-06-16
1841229457 Joseph L Gallagher IIi Family Medicine 1 Somerdale Sq, Somerdale, NJ 08083-1345 2006-07-03
1518996941 Christopher J Barone Family Medicine 1 Somerdale Sq, Somerdale, NJ 08083-1345 2006-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053620351 Wal-mart Stores East Lp Technician/Technologist 1 Coopertown Blvd, Somersdale, NJ 08083 2010-10-04
1336344548 Diana Neal Juelg Nurse Practitioner 22 E. Evergreen Avenue, Somerdale, NJ 08083 2007-06-18
1598890295 Shawn Thomas Klenk Specialist/Technologist 102 Rex Rd., Somerdale, NJ 08083 2007-02-22
1588741870 John Raymond Tocco Specialist 701 W. Somerdale Road, Somerdale, NJ 08083 2006-11-01
1013552702 Integrity Family Solutions Community/Behavioral Health 104 Kennedy Blvd, Somerdale, NJ 08083-1019 2019-11-17
1649373978 Vijay K Kalola Internal Medicine 227 E Somerdale Rd, Somerdale, NJ 08083-1105 2006-09-05
1639260896 Primary Care Affiliates of Nj, Pa Internal Medicine 227 E Somerdale Rd, Somerdale, NJ 08083-1105 2006-09-27
1932203171 Jayesh Patel Internal Medicine 227 E Somerdale Rd, Somerdale, NJ 08083-1105 2006-09-08
1295727642 Alan D Budman Podiatrist 301 E Somerdale Rd, Somerdale, NJ 08083-1107 2005-08-19
1124075643 Alan D. Budman Podiatrist 301 E Somerdale Rd, Somerdale, NJ 08083-1107 2006-05-29
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1881247054 Priority Health and Wellness of Montvale, LLC Clinic/Center 136 Summit Ave Ste 102, Montvale, NJ 07645-1720 2019-07-17
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Competitor

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City SOMERDALE
Zip Code 08083

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Dataset Information

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.

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