Kennedy Health Alliance
LBN: Kennedy Medical Group Practice P.C.
Kennedy Health Alliance is an health care organization with primary practice located at 1305 Kings Hwy N N#4, Cherry Hill NJ 08034-1919. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Kennedy Medical Group Practice P.C. can be contacted via phone (844) 542-2273, or through Ciervo, Carman via phone (856) 344-7360.
Contact Information
Primary practice address
1305 Kings Hwy N N#4
Cherry Hill NJ 08034-1919
Phone: (844) 542-2273
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
NPI number | 1437693421 |
---|---|
LBN Legal business name | Kennedy Medical Group Practice P.C. |
DBA Doing business as | Kennedy Health Alliance |
Authorized official | Ciervo, Carman Doctor of Osteopathy (DO) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 9th, 2016 |
Last updated | Dec 9th, 2016 - about 8 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 | 1437693421 | NPPES |
New Jersey | MEDICAID | 0411248 |
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