Kennedy Health Alliance

LBN: Kennedy Medical Group Practice P.C.
Kennedy Health Alliance is an health care organization with primary practice located at 900 Route 168 Suite C#3, Blackwood NJ 08012-3233. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is the primary health care specialty. Kennedy Medical Group Practice 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
900 Route 168 Suite C#3 Blackwood NJ 08012-3233
Phone: (856) 857-6920
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
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X

Profile Details

NPI number 1497295109
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 Feb 28th, 2017
Last updated Feb 28th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497295109 NPPES
New Jersey MEDICAID 0411248

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