KENNEDY UNIVERSITY HOSPITAL, INC (NPI# 1649296294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649296294 |
| Entity Type | Organization |
| Organization Name | KENNEDY UNIVERSITY HOSPITAL, INC |
| Other Organization Name | KENNEDY FAMILY HEALTH SERVICES |
| Practice Address |
445 Hurffville Crosskeys Rd Bldg A Sewell NJ 08080-2337 |
| Mailing Address |
445 Hurffville - Crosskeys Rd Building A Sewell NJ 08080 |
| Practice Telephone | 8565575555 |
| Practice Fax Number | 8562182873 |
| Mailing Telephone | 8565575555 |
| Mailing Fax Number | 8562182873 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 10802 | NJ | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 10802 | NJ | Allopathic & Osteopathic Physicians |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
10802 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4140222 | 05 | |
| NJ | 6843301 | 05 |
| Other Name | Type Code |
|---|---|
| KENNEDY FAMILY HEALTH SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083606164 | Kennedy University Hospital, Inc | Home Health | 1099 White Horse Rd, Voorhees, NJ 08043-4405 | 2005-08-16 |
| 1568902146 | Kennedy University Hospital, Inc | Podiatrist | 1 Somerdale Sq, Somerdale, NJ 08083-1345 | 2017-03-02 |
| 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 |
445 HURFFVILLE CROSSKEYS RD BLDG A |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154645299 | Kennedy University Hospital, Inc | Clinic/Center | 445 Hurffville Crosskeys Rd Bldg A, Sewell, NJ 08080-2337 | 2010-03-18 |
| 1679702682 | Deborah White | Obstetrics & Gynecology | 445 Hurffville Crosskeys Rd Bldg A, Sewell, NJ 08080-2337 | 2009-07-11 |
| 1316138829 | Kenneth C. Covone | Obstetrics & Gynecology | 445 Hurffville Crosskeys Rd Bldg A, Sewell, NJ 08080-2337 | 2007-08-08 |
| 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 Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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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.