KENNEDY MEDICAL GROUP PRACTICE, P.C.


Address: 543 Egg Harbor Road, Sewell, NJ 08080-2335
Phone: 8562562063

KENNEDY MEDICAL GROUP PRACTICE, P.C. (NPI# 1629343421) 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) 1629343421
Entity Type Organization
Organization Name KENNEDY MEDICAL GROUP PRACTICE, P.C.
Other Organization Name KENNEDY HEALTH ALLIANCE
Practice Address 543 Egg Harbor Road
Sewell
NJ 08080-2335
Mailing Address 205 E Laurel Rd
2nd Floor
Stratford
NJ 08084-1301
Practice Telephone 8562562063
Practice Fax Number 8562562064
Mailing Telephone 8567831892
Mailing Fax Number 8567831403
Enumeration Date 2012-03-13
Last Update Date 2014-06-18
Authorized Official Name KATHERINE KATHERINE (VP CLINICAL INTEGRATION)
Authorized Official Telephone 8567831982
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
Y 2086S0129X Surgery
Specialization: Vascular Surgery
25MA09025500 NJ Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Kennedy Health Alliance Doing Business As Name - Organization

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
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
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 543 EGG HARBOR ROAD
City SEWELL
State NJ
Zip Code 08080-2335

Providers in the same zip code

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 Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861545188 Charles L. Dietzek Surgery 543 Egg Harbor Rd, Sewell, NJ 08080-2335 2007-01-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801447784 Heritage Wound Care LLC Surgery 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 2019-09-23
1063063188 Jvg Cardiovascular LLC Surgery 60 Baldwin Rd Ste 101b, Parsippany, NJ 07054-2901 2019-09-20
1558918359 Varicose Veins Doctor Pa Surgery 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 2019-08-26
1437701729 Usa Vascular Center of New Jersey LLC Surgery 272 Main St Ste A, Orange, NJ 07050-3605 2019-07-16
1396301974 Vascular & Vein Center of New Jersey LLC Surgery 10 Industrial Way E Ste 103, Eatontown, NJ 07724-3332 2019-05-19
1568936326 Heritage Vascular PC Surgery 663 E Crescent Ave Ste 111, Ramsey, NJ 07446-1220 2019-01-15
1144761685 Center for Vascular Medicine Nj, LLC Surgery 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 2017-03-16
1134665631 Robert S.walsky Md Surgery 22 Angela Ct, Woodcliff Lake, NJ 07677-8102 2017-01-09
1982074290 Frontier Medical Care Surgery 301 Tavistock, Cherry Hill, NJ 08034-4020 2015-09-29
1023486925 Associates In Vascular Care LLC Limb Salvage Center Surgery 1000 Route 35 South, Suite 300, Middletown, NJ 07748-2606 2015-09-09
Find all providers with the same taxonomy

Competitor

Search similar providers

City SEWELL
Zip Code 08080

Improve Information

Please comment or provide details below to improve the information on KENNEDY MEDICAL GROUP PRACTICE, P.C..

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.

Trending Searches