Roy L Sandau (NPI# 1124228788, PAC ID# 0446304430) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1124228788 |
| PAC ID by PECOS | 0446304430 |
| Professional Enrollment ID | I20090810000366 |
| Full Name | Roy L Sandau |
| Organization Legal Name | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Address |
2201 Chapel Ave W Cherry Hill NJ 08002-2048 |
| Phone Number | 8565134124 |
| Gender | M |
| Medical School | UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2860616877 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310086 | JEFFERSON STRATFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 8565134124 | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| 2211 Chapel Ave W, 301 Kha General Surgery, Cherry Hill, NJ 08002-2048 | 8566652017 | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| 457 Haddonfield Rd, Suite 110, Cherry Hill, NJ 08002-2223 | 8445422273 | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| 18 E Laurel Rd, Stratford, NJ 08084-1327 | 8565134124 | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| 1 Regulus Dr A, Turnersville, NJ 08012-2427 | 8562567513 | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| 151 Fries Mill Rd, Turnersville, NJ 08012-2016 | KENNEDY MEDICAL GROUP PRACTICE, P.C. | |
| 333 Laurel Oak Rd, Voorhees, NJ 08043-4453 | 8445422273 | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Organization Legal Name | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Physicians | 263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria L Jackson | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Joseph Derose | Infectious Disease | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 100, Turnersville, NJ 08012-2016 |
| Jodie Black | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 205 E Laurel Rd, Stratford, NJ 08084-1301 |
| William Ross Green | Radiation Oncology | Kennedy Medical Group Practice, P.C. | 900 Medical Ctr Dr, Suite 201, Sewell, NJ 08080-2358 |
| Ashley Ferris | Obstetrics/gynecology | Kennedy Medical Group Practice, P.C. | 400 Medical Ctr Dr, Suite F, Sewell, NJ 08080-2362 |
| Nina Lane | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 18 E Laurel Rd, Stratford, NJ 08084-1327 |
| Deborah A Ubele | Family Medicine | Kennedy Medical Group Practice, P.C. | 1300 Liberty Pl, Sicklerville, NJ 08081-5710 |
| Rosemary A Decicco | Physician Assistant | Kennedy Medical Group Practice, P.C. | 457 Haddonfield Rd, Suite 110, Cherry Hill, NJ 08002-2223 |
| Duane R Monteith | Thoracic Surgery | Kennedy Medical Group Practice, P.C. | 333 Laurel Oak Rd, Voorhees, NJ 08043-4453 |
| Jennifer E Hummel | Obstetrics/gynecology | Kennedy Medical Group Practice, P.C. | 165 Princeton Ave, West Deptford, NJ 08096-3123 |
| Street Address |
2201 CHAPEL AVE W |
| City | CHERRY HILL |
| State | NJ |
| Zip | 08002-2048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Winter E Skelly | Certified Registered Nurse Anesthetist (crna) | Rancocas Anesthesiology Pa | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 |
| Fatima Ali | Internal Medicine | Kennedy Medical Group Practice, P.C. | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 |
| Renee M Waters | Anesthesiology | Rancocas Anesthesiology Pa | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 |
| George Tucker | Certified Registered Nurse Anesthetist (crna) | Rancocas Anesthesiology Pa | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 |
| Linda J Szczurek | General Surgery | Kennedy Medical Group Practice, P.C. | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 |
| Thanuja K Hamilton | Sleep Medicine | Advocare LLC | 2201 Chapel Ave W, Advocare In Patient Medicine, Cherry Hill, NJ 08002-2048 |
| Daniel W Boucot | Certified Registered Nurse Anesthetist (crna) | Rancocas Anesthesiology Pa | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 |
| Jihui J Qiu | Pathology | Kennedy Medical Group Practice, P.C. | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 |
| Varun Verma | Hospitalist | Kennedy Medical Group Practice, P.C. | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 |
| Jeanine M Chiaffarano | Pathology | Kennedy Medical Group Practice, P.C. | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles H Fitzpatrick | Optometry | Eyexam Associates Pa | 2432 Route 38, Cherry Hill, NJ 08002-1238 |
| Alan M Siedman | Optometry | Eyexam Associates Pa | 2432 Route 38, Cherry Hill, NJ 08002-1238 |
| Anthony L Giordano | Psychologist, Clinical | 811 Church Rd, Suite 160, Cherry Hill, NJ 08002-1454 | |
| Beth Anne Addis | Nurse Practitioner | Cmg Medical Group I LLC | 3025 Chapel Ave W, Cherry Hill, NJ 08002-1503 |
| Richard Pilla | General Practice | 3020 Chapel W Ave, Cherry Hill, NJ 08002-1562 | |
| David M Pilla | Podiatry | 3020 Chapel Ave W, Cherry Hill, NJ 08002-1562 | |
| Nathan R Sonnheim | Clinical Social Worker | 3022 Chapel Ave W, Cherry Hill, NJ 08002-1562 | |
| Barbara Sonnheim | Clinical Social Worker | 3022 Chapel Ave W, Cherry Hill, NJ 08002-1562 | |
| Mary S Makar | Ophthalmology | W Reed Kindermann, M.d. P.a. | 3001 Chapel W Ave, Suite 200, Cherry Hill, NJ 08002-1592 |
| Delano R Heard | Psychiatry | 111 Chestnut St, Suite 104, Cherry Hill, NJ 08002-1834 | |
| Find all physicians in zip 08002 | |||
| City | CHERRY HILL |
| Zip Code | 08002 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CHERRY HILL + GENERAL SURGERY |
Please comment or provide details below to improve the information on Roy L Sandau.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.