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
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1942746367 | NPPES |
| New Hampshire | MEDICAID | 0411248 |
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