Crystal Rivell (NPI# 1124259460, PAC ID# 6305094830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124259460 |
| PAC ID by PECOS | 6305094830 |
| Professional Enrollment ID | I20120907000203 |
| Full Name | Crystal Rivell |
| Organization Legal Name | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Address |
151 Fries Mill Rd Suite 400 Turnersville NJ 08012-2016 |
| Phone Number | 8445422273 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| 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 |
| 310032 | INSPIRA MEDICAL CENTER VINELAND |
| 310081 | INSPIRA MEDICAL CENTER WOODBURY |
| Address | Phone | Organization |
|---|---|---|
| 151 Fries Mill Rd, Suite 400, Turnersville, NJ 08012-2016 | 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 |
151 FRIES MILL RD SUITE 400 |
| City | TURNERSVILLE |
| State | NJ |
| Zip | 08012-2016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Derose | Infectious Disease | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 100, Turnersville, NJ 08012-2016 |
| Melissa Mccann | Physical Therapy | Cross Keys Physical Therapy Sports Medicine Center Inc. | 151 Fries Mill Rd, Suite 1, Turnersville, NJ 08012-2016 |
| Marc H Michelson | Internal Medicine | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 400, Turnersville, NJ 08012-2016 |
| Manoucheka Emmanuel | Clinical Social Worker | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 400, Turnersville, NJ 08012-2016 |
| Eric Jay Kaminetsky | Family Medicine | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 400, Turnersville, NJ 08012-2016 |
| David Anselmo | Physical Therapy | Cross Keys Physical Therapy Sports Medicine Center Inc. | 151 Fries Mill Rd, Suite 1, Turnersville, NJ 08012-2016 |
| Mariana Raquel Kuperman | Family Medicine | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 301, Turnersville, NJ 08012-2016 |
| Maureen Hughes-brown | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 301, Turnersville, NJ 08012-2016 |
| David V Condoluci | Infectious Disease | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 100, Turnersville, NJ 08012-2016 |
| Andro T. Zangaladze | Neurology | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 102, Turnersville, NJ 08012-2056 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy Cameron | Registered Dietitian Or Nutrition Professional | 5070 Rte, 42 Top Floor, Turnersville, NJ 08012 | |
| Tamara M Fisicaro | Internal Medicine | Advocare LLC | 527 S Black Horse Pke, Blackwood, NJ 08012 |
| Jo Ann M Cannon | Psychologist, Clinical | 4551 Route 42 4, Turnersville, NJ 08012 | |
| Theodore G Koerner | Family Medicine | 4911 Black Horse Pike, Turnersville, NJ 08012-0877 | |
| Sheri L Dempsey | Physical Therapy | 501 Route 168, Blackwood, NJ 08012-1458 | |
| Michael J Miranda | Chiropractic | 501 Route 168, Turnersville, NJ 08012-1458 | |
| Heather M Sterling | Chiropractic | 180 Greentree Rd, Turnersville, NJ 08012-1568 | |
| John P Galvin | Optometry | Galvin Eyes, LLC | 137 Greentree Rd, Turnersville, NJ 08012-1569 |
| Karen E Galvin | Optometry | Galvin Eyes, LLC | 137 Greentree Rd, Turnersville, NJ 08012-1569 |
| Joseph A Midili | Chiropractic | 133 Ganttown Rd, Turnersville, NJ 08012-1676 | |
| Find all physicians in zip 08012 | |||
| City | TURNERSVILLE |
| Zip Code | 08012 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TURNERSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Crystal Rivell.
| 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.