KENNEDY UNIVERSITY HOSPITAL, INC (NPI# 1568902146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568902146 |
| Entity Type | Organization |
| Organization Name | KENNEDY UNIVERSITY HOSPITAL, INC |
| Other Organization Name | KENNEDY FAMILY HEALTH SERVICES PODIATRIST GROUP |
| Practice Address |
1 Somerdale Sq Somerdale NJ 08083-1345 |
| Practice Telephone | 8563097700 |
| Practice Fax Number | 8565668944 |
| Mailing Telephone | 8563097700 |
| Mailing Fax Number | 8565668944 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Authorized Official Name | MRS. FELICIA A. NESMITH-CUNNINGHAM (CORPORATE DIRECTOR) |
| Authorized Official Telephone | 8563097721 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
NJ | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Kennedy Family Health Services Podiatrist Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649296294 | Kennedy University Hospital, Inc | Family Medicine | 445 Hurffville Crosskeys Rd Bldg A, Sewell, NJ 08080-2337 | 2006-07-15 |
| 1083606164 | Kennedy University Hospital, Inc | Home Health | 1099 White Horse Rd, Voorhees, NJ 08043-4405 | 2005-08-16 |
| 1205244910 | Kennedy University Hospital, Inc | Clinic/Center | 1300 Liberty Pl, Lakeside Business Center, Sicklerville, NJ 08081-5710 | 2014-07-25 |
| 1992020358 | Kennedy University Hospital, Inc | Clinic/Center | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2010-03-29 |
| 1144544297 | Kennedy University Hospital, Inc | Clinic/Center | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2010-03-18 |
| 1154645299 | Kennedy University Hospital, Inc | Clinic/Center | 445 Hurffville Crosskeys Rd Bldg A, Sewell, NJ 08080-2337 | 2010-03-18 |
| Street Address |
1 SOMERDALE SQ |
| City | SOMERDALE |
| State | NJ |
| Zip Code | 08083-1345 |
| 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 |
| 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 |
| 1295751832 | Kennedy University Hospital, Inc. | Family Medicine | 1 Somerdale Sq, Somerdale, NJ 08083-1345 | 2006-07-15 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 08083 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1275162315 | Mercer-ocean Podiatry | Podiatrist | 666 Plainsboro Rd Ste 1050, Plainsboro, NJ 08536-3044 | 2020-04-01 |
| 1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
| 1659905685 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 132 Franklin Corner Rd Ste C1, Lawrenceville, NJ 08648-2523 | 2020-02-28 |
| 1891270609 | Syracuse Medical LLC | Podiatrist | 5 Franklin Ave Ste 103, Belleville, NJ 07109-3521 | 2018-09-27 |
| 1912481946 | Dr Emad Youssef Podiatry LLC | Podiatrist | 14 W 11th St Fl 1, Bayonne, NJ 07002-2508 | 2018-09-14 |
| 1932686334 | Kinetic Foot and Ankle, LLC | Podiatrist | 1030 Mcbride Ave Unit 103, Woodland Park, NJ 07424-2535 | 2018-07-27 |
| 1346730215 | J M Podiatry Associates PC | Podiatrist | 121 Route 31 Ste 700, Flemington, NJ 08822-5754 | 2018-05-15 |
| 1235629783 | Belvidere Foot & Ankle LLC | Podiatrist | 8 Greenwich St, Belvidere, NJ 07823-1421 | 2018-05-10 |
| 1093217622 | Active Podiatry LLC | Podiatrist | 7823 Bergenline Ave Fl 2, North Bergen, NJ 07047-4942 | 2018-02-28 |
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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.