KENNEDY MEDICAL GROUP PRACTICE P.C. (NPI# 1568996098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568996098 |
| Entity Type | Organization |
| Organization Name | KENNEDY MEDICAL GROUP PRACTICE P.C. |
| Other Organization Name | KENNEDY HEALTH ALLIANCE |
| Practice Address |
151 Fries Mill Rd Suite 301 Turnersville NJ 08012-2016 |
| Practice Telephone | 8568751209 |
| Practice Fax Number | 8568759556 |
| Mailing Telephone | 8568751209 |
| Mailing Fax Number | 8568759556 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| Authorized Official Name | SUSAN KRUM (AVP) |
| Authorized Official Telephone | 8567831267 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0411248 | 05 |
| Other Name | Type Code |
|---|---|
| Kennedy Health Alliance | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225559495 | Kennedy Medical Group Practice P.C. | Dietitian, Registered | 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 | 2017-06-28 |
| 1881138154 | Kennedy Medical Group Practice P.C. | Family Medicine | 630 B South White Horse Pike, Hammonton, NJ 08037 | 2016-12-06 |
| 1881987337 | Kennedy Medical Group Practice P.C. | Internal Medicine | 1 A Regulus Drive, Turnersville, NJ 08012 | 2011-05-17 |
| 1497295109 | Kennedy Medical Group Practice P.C. | Psychologist | 900 Route 168, Suite C#3, Blackwood, NJ 08012-3233 | 2017-02-28 |
| 1598203267 | Kennedy Medical Group Practice P.C. | Internal Medicine | 151 Fries Mill Rd, Suite 100, Turnersville, NJ 08012-2016 | 2017-02-02 |
| 1871039180 | Kennedy Medical Group Practice P.C. | Family Medicine | 100 Black Horse Pike, Audubon, NJ 08106-1950 | 2017-01-10 |
| 1942746367 | Kennedy Medical Group Practice P.C. | Family Medicine | 159 S Broad St, Woodbury, NJ 08096-2410 | 2017-01-09 |
| 1437693421 | Kennedy Medical Group Practice P.C. | Psychiatry & Neurology | 1305 Kings Hwy N, N#4, Cherry Hill, NJ 08034-1919 | 2016-12-09 |
| 1023374766 | Kennedy Medical Group Practice P.C. | Internal Medicine | 1300 Liberty Pl, Sicklerville, NJ 08081-5710 | 2012-04-06 |
| 1952615981 | Kennedy Medical Group Practice P.C. | Family Medicine | 165 Princeton Ave, West Deptford, West Deptford, NJ 08096-3123 | 2010-08-02 |
| Street Address |
151 FRIES MILL RD SUITE 301 |
| City | TURNERSVILLE |
| State | NJ |
| Zip Code | 08012-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023019270 | Robert Bruce Schwartz | Internal Medicine | 151 Fries Mill Rd, Suite 400, Turnersville, NJ 08012-2016 | 2005-08-09 |
| 1598203267 | Kennedy Medical Group Practice P.C. | Internal Medicine | 151 Fries Mill Rd, Suite 100, Turnersville, NJ 08012-2016 | 2017-02-02 |
| 1740648807 | Dorothy Wiegand | Nurse Practitioner | 151 Fries Mill Rd, Suite 301, Turnersville, NJ 08012-2016 | 2016-02-04 |
| 1760849301 | Caroline Greene | Nurse Practitioner | 151 Fries Mill Rd, Suite 301, Turnersville, NJ 08012-2016 | 2016-01-27 |
| 1003212788 | Ra Pain Services, P.a. | Anesthesiology | 151 Fries Mill Rd, Suite 202, Turnersville, NJ 08012-2016 | 2014-11-07 |
| 1477982056 | Cristina Elizabeth Mazzeo | Counselor | 151 Fries Mill Rd, Suite 201, Turnersville, NJ 08012-2016 | 2013-11-05 |
| 1588006092 | Hope Ann Fitzgerald | Social Worker | 151 Fries Mill Rd, Turnersville, NJ 08012-2016 | 2013-07-25 |
| 1437493046 | Frank C. Mcmanus, Ph.d., PC | Counselor | 151 Fries Mill Rd, Suite 305, Turnersville, NJ 08012-2016 | 2012-11-20 |
| 1730432774 | Tricia Lynne Yeo | Dietetic Technician, Registered | 151 Fries Mill Rd, Suite 201, Turnersville, NJ 08012-2016 | 2012-10-15 |
| 1497029599 | Eastern Regional Pain Mgt, PC | Anesthesiology | 151 Fries Mill Rd, Turnersville, NJ 08012-2016 | 2012-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898550 | Caroline I Scott | In Home Supportive Care | 60 Lawrence Ln, Blackwood, NJ 08012 | 2020-07-17 |
| 1073154092 | Gina Marie Romano | Behavioral Analyst | 12 Braemar Ave, Blackwood, NJ 08012 | 2019-10-01 |
| 1245745777 | Chandler Group Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3408 Hight Street, Blackwood, NJ 08012 | 2017-12-06 |
| 1962917625 | Dpsp Health Care LLC | Home Health | 860 Rt. 168, Suite 207, Turners Ville, NJ 08012 | 2017-12-04 |
| 1871003103 | Sayana Modi LLC | Pharmacy | 460 Hurffville Crosskeys Rd, Tunersville, NJ 08012 | 2017-09-30 |
| 1427590827 | Cillo Chiropractic LLC | Chiropractor | 10 Woodlane Drive, Blackwood, NJ 08012 | 2016-11-16 |
| 1609327006 | Lena F Robinson | Registered Nurse | 435 Huffville Crosskeys Road, Turnersville, NJ 08012 | 2016-10-20 |
| 1316493026 | Partners In Homecare Services | In Home Supportive Care | 400 East Church St ., Blackwood, NJ 08012 | 2016-09-01 |
| 1710357710 | Wendy Hughes | Counselor | 900 Route 168 Ste B6, Turnersville, NJ 08012 | 2015-10-02 |
| 1043602337 | Erika White | Pharmacy Technician | 4001 State Route 42, Turnersville, NJ 08012 | 2015-02-24 |
| Find all providers in zip 08012 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548892318 | Amy Elizabeth Ziminski | Obstetrics & Gynecology | 376 Lafayette Rd Ste 201, Sparta, NJ 07871-3560 | 2020-02-10 |
| 1104341023 | Alexander Gudz LLC | Obstetrics & Gynecology | 515 N Wood Ave Ste 302, Linden, NJ 07036-4173 | 2017-08-11 |
| 1720467723 | Barbara Plucknett LLC | Obstetrics & Gynecology | 30 Two Bridges Rd, Fairfield, NJ 07004-1593 | 2015-05-22 |
| 1245583897 | Albert C Parker | Obstetrics & Gynecology | 512a Old Nassau Rd, Monroe Twp, NJ 08831-1835 | 2012-10-19 |
| 1609178573 | Family Health Providers, LLC | Obstetrics & Gynecology | 450 Martin Luther King Jr Dr, Jersey City, NJ 07304-4218 | 2010-11-29 |
| 1265740732 | Maryann Huhn-werner, Md, LLC | Obstetrics & Gynecology | 854 Mountain Ave, Suite 1, Mountainside, NJ 07092-2716 | 2010-09-18 |
| 1992013403 | J. Evans Murage, Md, PC | Obstetrics & Gynecology | 1301 Whitehorse Mercerville Rd Ste 201, Hamilton, NJ 08619-3826 | 2010-09-17 |
| 1487965711 | George M Tai | Obstetrics & Gynecology | 2421 Cedarbridge Rd, Northfield, NJ 08225-1446 | 2010-07-01 |
| 1336471192 | Women for Women Medical Associates | Obstetrics & Gynecology | 102 I. Centre Blvd., Marlton, NJ 08053 | 2010-02-04 |
| 1306073036 | Urogynecology Associates of Central Jersey P.C. | Obstetrics & Gynecology | 19 Continental Ct, South River, NJ 08882-2586 | 2009-06-21 |
| Find all providers with the same taxonomy | ||||
| City | TURNERSVILLE |
| Zip Code | 08012 |
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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.