D/B/A/ Kennedy Health Alliance

LBN: Kennedy Medical Group Practice, P.C.
D/B/A/ Kennedy Health Alliance is an health care organization with primary practice located at 485 Williamstown Road , Sicklerville NJ 08081. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Kennedy Medical Group Practice, P.C. can be contacted via phone (856) 772-9600, or through Schleider, Katherine via phone (856) 783-1987.

Contact Information

Primary practice address
485 Williamstown Road Sicklerville NJ 08081
Fax: (856) 772-9650
Website:
Authorized official contact:
Name: Schleider, Katherine

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 25MB03854300 New Jersey

Profile Details

NPI number 1578975520
LBN Legal business name Kennedy Medical Group Practice, P.C.
DBA Doing business as D/B/A/ Kennedy Health Alliance
Authorized official Schleider, Katherine
Entity Organization
Organization subpart 1 Yes
Enumeration date May 27th, 2014
Last updated May 27th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578975520 NPPES
New Jersey MEDICAID 3911101
New Jersey Other P00633440

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