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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: July 19, 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.Information from the official NPPES registry record, last updated March 17, 2018.

NPPES Registry Identity

NPI1093051468
Entity TypeOrganization
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. How NPI validation works

★ Primary Specialty

Radiology · Radiation Oncology

Taxonomy 2085R0001X · Allopathic & Osteopathic Physicians

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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Also on File with NPPES

Secondary Location1
457 Haddonfield Rd Ste 110, Liberty View Cherry Hill
Cherry Hill, NJ 08002-2223
Phone (856) 406-4091 · Fax (856) 406-4570
Group Practice1
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization. (193200000X MULTI-SPECIALTY GROUP)

Reviews for KENNEDY MEDICAL GROUP PRACTICE, P.C.

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

What is KENNEDY MEDICAL GROUP PRACTICE, P.C.'s NPI number?

The NPI number assigned to this healthcare provider is 1093051468, enumerated as an "organization" on December 12, 2012.

Where is the provider located?

The provider is located at 900 MEDICAL CENTER DR STE 100 SEWELL, NJ 08080 and the phone number is (856) 582-3008.

What is the provider's specialty?

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.