KENNEDY MEDICAL GROUP PRACTICE, P.C.


Address: 457 Haddonfield Rd, Ste. 110, Cherry Hill, NJ 08002-2220
Phone: 8567831987

KENNEDY MEDICAL GROUP PRACTICE, P.C. (NPI# 1346615333) 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) 1346615333
Entity Type Organization
Organization Name KENNEDY MEDICAL GROUP PRACTICE, P.C.
Practice Address 457 Haddonfield Rd
Ste. 110
Cherry Hill
NJ 08002-2220
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 2017-10-19
Authorized Official Name CARMAN A CIERVO (CEO)
Authorized Official Telephone 8567831987
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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
1902271992 Kennedy Medical Group Practice, P.C. Surgery 668 Main St, Ste. 4, Lumberton, NJ 08048-5016 2015-12-02
1003281080 Kennedy Medical Group Practice, P.C. Surgery 570 Egg Harbor Rd, Suite C-2, Sewell, NJ 08080-2359 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

Office Location

Street Address 457 HADDONFIELD RD
STE. 110
City CHERRY HILL
State NJ
Zip Code 08002-2220

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912977950 Loretta L Mueller Family Medicine 457 Haddonfield Rd, Cherry Hill, NJ 08002-2220 2006-01-24
1124479555 Cornerstone Foot & Ankle Podiatrist 457 Haddonfield Rd, Suite 110, Cherry Hill, NJ 08002-2220 2016-06-27
1750793881 New Jersey Podiatric Physicians and Surgeons Group, LLC Podiatrist 457 Haddonfield Rd, Suite 110, Cherry Hill, NJ 08002-2220 2014-05-23
1568804912 Tracy Logan Persily Family Medicine 457 Haddonfield Rd, Cherry Hill, NJ 08002-2220 2013-07-26
1104016187 Gregory John Barone Internal Medicine 457 Haddonfield Rd, Ste 110, Cherry Hill, NJ 08002-2220 2007-07-26
1922211630 Tlc Management (delaware Valley), LLC Clinic/Center 457 Haddonfield Rd, Suite 110, Cherry Hill, NJ 08002-2220 2007-05-08
1922038199 Yelena Y Shrayber Family Medicine 457 Haddonfield Rd, Suite 110, Cherry Hill, NJ 08002-2220 2006-07-04
1932149226 Robert D Dimaio Family Medicine 457 Haddonfield Rd, Cherry Hill, NJ 08002-2220 2006-06-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649878547 Rachel J Crutchley Behavioral Analyst 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 2020-10-13
1356954713 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 650 Garden Park Blvd, Cherry Hill, NJ 08002 2020-08-26
1104483825 Advocare, LLC Specialist 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 2019-05-29
1881155299 Tyesha Thomas Counselor 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 2019-03-28
1982184479 Brian Keith Smalls Jr. Early Intervention Provider Agency 1701 Bishop View Circle, Cherry Hill, NJ 08002 2018-08-15
1124510094 Salvatore Montana Messina Student in an Organized Health Care Education/Training Program 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 2018-06-05
1871010397 Jocelyn Lea Daigle Counselor 2201 Chapel Avenue W, Cherry Hill, NJ 08002 2017-08-25
1225559495 Kennedy Medical Group Practice P.C. Dietitian, Registered 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 2017-06-28
1245750926 Casey Rich Behavioral Analyst 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 2017-06-22
1790211514 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11 Nevada Ave, Cherry Hill, NJ 08002 2017-05-11
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942757612 Steven Ockrymiek Internal Medicine 25 Cohasset Ln, Cherry Hill, NJ 08003-1934 2016-09-09
1669847646 Kennedy Medical Group Practice, P.C. Internal Medicine 2211 Chapel Ave West, Ste 301, Cherry Hill, NJ 08002 2015-12-02
1659764025 Rachel Jenna Masel-miller Internal Medicine 1210 Brace Rd Ste 102, Cherry Hill, NJ 08034 2015-03-10
1154727303 Premier Physician Network, LLC Internal Medicine 1415 Marlton Pike E Ste Ll5, Cherry Hill, NJ 08034-2229 2014-11-17
1932538451 Irene Felecidad Kirkland Internal Medicine 10 Partridge Ct, Cherry Hill, NJ 08003-2202 2013-11-05
1851738819 Daniel A Baik Internal Medicine 2339 Route 70 W, Cherry Hill, NJ 08002-3315 2013-05-31
1659613347 Marissa Naomi Karpoff Internal Medicine 1935 Route 70 E Fl 2, Cherry Hill, NJ 08003 2013-03-20
1003059866 Shagufta Ahsan Internal Medicine 71 Lafayette Ln, Cherry Hill, NJ 08003-2535 2009-04-09
1790920577 Jacques Abi Rached Internal Medicine 207 Kings Hwy S Ste 2, Cherry Hill, NJ 08034-2508 2008-12-09
1003090275 Alexandr Zaslavsky Internal Medicine 2171 Route 70 W, Cherry Hill, NJ 08002-2733 2007-12-24
Find all providers in CHERRY HILL

Competitor

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City CHERRY HILL
Zip Code 08002

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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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