Kennedy Health Alliance
LBN: Kennedy Medical Group P.C.
Kennedy Health Alliance is an health care organization with primary practice located at 707 Haddonfield Berlin Rd , Voorhees NJ 08043-3714. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Kennedy Medical Group P.C. can be contacted via phone (856) 857-6920, or through Ciervo, Carman A via phone (856) 344-7360.
Contact Information
Primary practice address
707 Haddonfield Berlin Rd
Voorhees NJ 08043-3714
Phone: (856) 857-6920
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | ||
Behavioral Health & Social Service Providers / Family | 103TF0000X | ||
Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X |
Profile Details
NPI number | 1609314004 |
---|---|
LBN Legal business name | Kennedy Medical Group P.C. |
DBA Doing business as | Kennedy Health Alliance |
Authorized official | Ciervo, Carman A Doctor of Osteopathy (DO) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 6th, 2017 |
Last updated | Feb 9th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609314004 | NPPES |
New Jersey | MEDICAID | 0411248 |
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