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KENNEDY MEDICAL GROUP PRACTICE, P.C.
NPI 1093051468
Radiology - Radiation Oncology in Sewell, NJ

Active since December 12, 2012
900 MEDICAL CENTER DR STE 100, SEWELL, NJ 08080(856) 582-3008(856) 582-3009 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Oct 19, 2017, Jul 12, 2017 (3 updates tracked since 2017).

About Kennedy Medical Group Practice, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY MEDICAL GROUP PRACTICE, P.C. (NPI 1093051468) is a healthcare organization registered as a radiation oncology in Sewell, New Jersey and active in the NPI registry since December 2012. The organization maintains a secondary practice location in Cherry Hill and lists Carman A Ciervo, Cpe, as its authorized official.

NPPES Registry Identity

NPI1093051468
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameKENNEDY MEDICAL GROUP PRACTICE, P.C.
Location Address900 MEDICAL CENTER DR STE 100Sewell, NJ 08080-2358
Mailing Address457 Haddonfield Rd Ste 110, Liberty View Cherry HillCherry Hill, NJ 08002-2223 · (856) 406-4091
Phone(856) 582-3008
Fax(856) 582-3009
Organization SubpartNo
Authorized OfficialCarman A CiervoCpe · (856) 783-1987
Enumeration DateDecember 12, 2012
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1093051468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
900 MEDICAL CENTER DR STE 100, Sewell, NJ 08080
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Secondary Practice Location 1

Location 1457 Haddonfield Rd Ste 110, Liberty View Cherry HillCherry Hill, NJ 08002-2223 · Phone (856) 406-4091 · Fax (856) 406-4570

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM ROSS GREEN M.D.
Radiology (Radiation Oncology)
900 MEDICAL CENTER DR STE 100
SEWELL, NJ 08080
Gloucester County (856) 582-3008
GREGORY S ALEXANDER MD
Radiology (Radiation Oncology)
900 MEDICAL CENTER DR STE 100
SEWELL, NJ 08080
Gloucester County (856) 582-3008
TAMARA ANNE LACOUTURE M.D.
Radiology (Therapeutic Radiology)
900 MEDICAL CENTER DR STE 100
SEWELL, NJ 08080
Gloucester County (856) 582-3008
DANE RYAN COHEN M.D.
Radiology (Radiation Oncology)
900 MEDICAL CENTER DR STE 100
SEWELL, NJ 08080
Gloucester County (856) 582-3008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Medical Group Practice, P.C.'s NPI number?

The NPI number for Kennedy Medical Group Practice, P.C. is 1093051468. It was assigned to this organization in the NPPES registry on December 12, 2012.

Where is Kennedy Medical Group Practice, P.C. located?

Kennedy Medical Group Practice, P.C. is located at 900 Medical Center Dr Ste 100, Sewell, NJ 08080. The listed phone number is (856) 582-3008.

What is Kennedy Medical Group Practice, P.C.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Kennedy Medical Group Practice, P.C. was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.