Kennedy Health Alliance

LBN: Kennedy Medical Group Practice P.C.
Kennedy Health Alliance is an health care organization with primary practice located at 159 S Broad St , Woodbury NJ 08096-2410. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Kennedy Medical Group Practice P.C. can be contacted via phone (844) 542-2273, or through Ciervo, Carman A via phone (856) 344-7360.

Contact Information

Primary practice address
159 S Broad St Woodbury NJ 08096-2410
Phone: (844) 542-2273
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ciervo, Carman A Doctor of Osteopathy (DO)
Phone: (856) 344-7360

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1942746367
LBN Legal business name Kennedy Medical Group Practice 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 Jan 9th, 2017
Last updated Oct 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942746367 NPPES
New Hampshire MEDICAID 0411248

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