KENNEDY UNIVERSITY HOSPITAL, INC (NPI# 1992020358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992020358 |
| Entity Type | Organization |
| Organization Name | KENNEDY UNIVERSITY HOSPITAL, INC |
| Other Organization Name | KENNEDY THORACIC SURGERY |
| Practice Address |
900 Medical Center Dr Suite 201 Sewell NJ 08080-2358 |
| Practice Telephone | 8562185740 |
| Practice Fax Number | 8562185749 |
| Mailing Telephone | 8562185740 |
| Mailing Fax Number | 8562185749 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |
| Authorized Official Name | MRS. KATHERINE SCHLEIDER (CORPORATE DIRECTOR) |
| Authorized Official Telephone | 8562185710 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6843301 | 05 |
| Other Name | Type Code |
|---|---|
| Kennedy Thoracic Surgery | Doing Business As Name - 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 |
| 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 |
| 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 |
900 MEDICAL CENTER DR SUITE 201 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598744922 | Professional Radiation Oncology Services | Radiology | 900 Medical Center Dr, Sewell, NJ 08080-2358 | 2006-01-13 |
| 1043580806 | Kennedy Medical Group Practice, P.C. | Surgery | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2012-01-10 |
| 1144544297 | Kennedy University Hospital, Inc | Clinic/Center | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2010-03-18 |
| 1699098095 | Nicole Anne Scivoletti-polan | Internal Medicine | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2010-03-12 |
| 1912166919 | Eduardo Careaga | Surgery | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2008-06-04 |
| 1730370891 | Neveen Malik | Internal Medicine | 900 Medical Center Dr, Suite 201, Sewell, NJ 08080-2358 | 2007-08-05 |
| 1790803351 | New Jersey Oncology Services, PC | Radiology | 900 Medical Center Dr, Sewell, NJ 08080-2358 | 2007-03-26 |
| 1669404984 | John R Glassburn | Internal Medicine | 900 Medical Center Dr, Suite 100, Sewell, NJ 08080-2358 | 2006-07-07 |
| 1275512600 | Carolyn J Horowitz | Radiology | 900 Medical Center Dr, Suite 100, Sewell, NJ 08080 | 2006-01-13 |
| 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 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
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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.