KENNEDY MEDICAL GROUP PRACTICE, P.C. (NPI# 1902271992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902271992 |
| Entity Type | Organization |
| Organization Name | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Other Organization Name | KENNEDY HEALTH ALLIANCE |
| Practice Address |
668 Main St Ste. 4 Lumberton NJ 08048-5016 |
| 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 | 2015-12-02 |
| Authorized Official Name | KATHERINE SCHLEIDER (VP) |
| Authorized Official Telephone | 8567831987 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kennedy Health Alliance | Doing Business As Name - Organization |
| 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 |
| 1346615333 | Kennedy Medical Group Practice, P.C. | Internal Medicine | 457 Haddonfield Rd, Ste. 110, Cherry Hill, NJ 08002-2220 | 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 |
| Street Address |
668 MAIN ST STE. 4 |
| City | LUMBERTON |
| State | NJ |
| Zip Code | 08048-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013918432 | William Rough | Surgery | 668 Main St, Ste 4, Lumberton, NJ 08048-5016 | 2005-08-09 |
| 1013337302 | Total Renal Care Inc | Clinic/Center | 668 Main St, Lumberton, NJ 08048-5016 | 2014-04-24 |
| 1154759561 | Advocare, LLC | Surgery | 668 Main St, Suite 4, Lumberton, NJ 08048-5016 | 2013-10-22 |
| 1316081268 | Thomas J Kayal | Surgery | 668 Main St, Ste 4, Lumberton, NJ 08048-5016 | 2007-02-16 |
| 1962561035 | Cardiovascular Management Systems | Physiological Laboratory | 668 Main St, Lumberton, NJ 08048-5016 | 2006-12-06 |
| 1003887787 | Harold R Reeve | Urology | 668 Main St, Ste 4, Lumberton, NJ 08048 | 2006-01-30 |
| 1932101961 | Eric Miller | Surgery | 668 Main St, Ste 4, Lumberton, NJ 08048-5016 | 2005-08-10 |
| 1265433536 | Christopher J Boynton | Surgery | 668 Main St, Ste 4, Lumberton, NJ 08048-5016 | 2005-08-09 |
| 1316948623 | Donna Mcfarland | Surgery | 668 Main St, Ste 4, Lumberton, NJ 08048-5016 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
| 1598139230 | Donise Paullette Dumpson | Nurse Anesthetist, Certified Registered | 140 Mt. Holly Bypass, Lumberton, NJ 08048 | 2015-11-18 |
| 1578962486 | Anne Greenwood | Counselor | 79 Chestnut Street, Lumberton, NJ 08048 | 2014-08-15 |
| 1780008136 | Alexander Park | Counselor | 770 Woodland Road, Mt. Holly, NJ 08048 | 2014-02-05 |
| 1396039772 | Linda Jean Wiles | Social Worker | 305 Dove Court, Lumberton, NJ 08048 | 2011-06-03 |
| 1073743365 | Advocating Counseling Enrichment and Development LLC | Social Worker | 41 Bridge Rd, Lumberton, NJ 08048 | 2009-07-21 |
| 1801940721 | Prathima Neruganti | Dentist | 1636 Route 38 Ste 21, Lumberton Plaza, Lumberton, NJ 08048 | 2007-01-22 |
| 1932288743 | Dental Health Associates Pa | Dentist | 1636 21 Rt 38, Lumberton Plaza, Lumberton, NJ 08048 | 2006-11-03 |
| 1093898769 | Patricia R Lyons | Dentist | 1636 21 Rte 38 Lumberton Plaza, Dental Health Associates Pa, Lumberton, NJ 08048 | 2006-10-24 |
| 1295828598 | George M Budd | Dentist | 737 Main Street, George M Budd Dds, Lumberton, NJ 08048 | 2006-10-02 |
| Find all providers in zip 08048 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417214404 | Rakesh Kumar | Surgery | 2934 N Elm St Ste E, Lumberton, NC 28358-2987 | 2012-04-16 |
| 1942394218 | Lumberton Clinic of Surgery, Pa | Surgery | 2604 N. Elm St., Lumberton, NC 28358 | 2006-10-03 |
| 1629028576 | Samuel E Britt II | Surgery | 2934 N Elm St, Ste E, Lumberton, NC 28358-2986 | 2006-05-11 |
| 1568412401 | Peter L Villani | Surgery | 3001 North Elm Street, Lumberton, NC 28358 | 2006-05-11 |
| 1013918432 | William Rough | Surgery | 668 Main St, Ste 4, Lumberton, NJ 08048-5016 | 2005-08-09 |
| 1013312826 | Roberto Jose Arias Gautreaux | Surgery | 2934 N Elm St, Suite E, Lumberton, NC 28358-2986 | 2014-10-23 |
| 1609299064 | Southeastern Regional Physician Services | Surgery | 2934 N Elm St Ste E, Lumberton, NC 28358-2987 | 2014-01-21 |
| 1154759561 | Advocare, LLC | Surgery | 668 Main St, Suite 4, Lumberton, NJ 08048-5016 | 2013-10-22 |
| 1477888964 | Lya Crichlow | Surgery | 2934 N Elm St, Lumberton, NC 28358-2981 | 2009-10-16 |
| 1467680421 | Mihailo Popovic | Surgery | 815 Oakridge Blvd, Lumberton, NC 28358-2330 | 2009-06-29 |
| Find all providers in LUMBERTON | ||||
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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.