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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: October 18, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Medical Group Practice, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

438

Medicare enrollment records show 438 clinicians reassign Medicare billing to Kennedy Medical Group Practice, P.C., which bills Medicare for the services they deliver. Of these, 9 practice at this address and 168 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 46

Nurse Practitioner118
Internal Medicine84
Family Practice27
Obstetrics/Gynecology24
Neurology17
General Surgery12
Qualified Audiologist12
Urology11
38 other specialties133

Nearest to this location (20)

See all 438
Dane Cohen, M.D.
Radiation Oncology
NPI 1760825327
900 MEDICAL CENTER DR STE 100
Sewell, NJ 08080
(856) 582-3008
✔ PECOS✔ Accepts MedicareSame address
Rachel Berger, MD
General Surgery
NPI 1699279935
900 MEDICAL CENTER DR STE 201
Sewell, NJ 08080
(856) 218-2100
✔ PECOS✔ Accepts MedicareSame address
Zachary French, MD
Medical Oncology
NPI 1043717333
900 MEDICAL CENTER DR STE 209
Sewell, NJ 08080
(856) 557-7900
✔ PECOS✔ Accepts MedicareSame address
Helen Nichter, APN-C
Nurse Practitioner
NPI 1750665634
900 MEDICAL CENTER DR STE 201
Sewell, NJ 08080
(856) 218-2100
✔ PECOS✔ Accepts MedicareSame address
Margaret O'neill
Nurse Practitioner
NPI 1164250064
900 MEDICAL CENTER DR STE 200
Sewell, NJ 08080
(856) 218-5324
✔ PECOS✔ Accepts MedicareSame address
Robin Wilson-Smith, D.O.
Obstetrics/Gynecology
NPI 1487747283
900 MEDICAL CENTER DR STE 205
Sewell, NJ 08080
(856) 557-5400
✔ PECOS✔ Accepts MedicareSame address
Gregory Alexander, MD
Radiation Oncology
NPI 1588157895
900 MEDICAL CENTER DR STE 100
Sewell, NJ 08080
(856) 582-3008
✔ PECOS✔ Accepts MedicareSame address
Yvonne Dansoa, D.O.
Hematology/Oncology
NPI 1235405499
900 MEDICAL CENTER DR STE 200
Sewell, NJ 08080
(856) 557-7900
✔ PECOS✔ Accepts MedicareSame address
Courtney Mcanally, CRNP
Nurse Practitioner
NPI 1164283057
900 MEDICAL CENTER DR STE 200
Sewell, NJ 08080
(856) 557-7900
✔ PECOS✔ Accepts MedicareSame address
Amber Hart, FNP-BC
Nurse Practitioner
NPI 1518760974
400 MEDICAL CENTER DR
Sewell, NJ 08080
(856) 374-1881
✔ PECOS✔ Accepts Medicare0.1 mi
Paul Jang, DO
Internal Medicine
NPI 1235781972
435 HURFFVILLE CROSS KEYS RD
Turnersville, NJ 08012
(856) 513-4124
✔ PECOS✔ Accepts Medicare0.2 mi
Laura Van Fossen, RN, CNM
Certified Nurse Midwife (CNM)
NPI 1104693324
435 HURFFVILLE- CROSS KEYS RD
Sewell, NJ 08080
(856) 582-2500
✔ PECOS✔ Accepts Medicare0.2 mi
Jessica Cherry, D.O.
Obstetrics/Gynecology
NPI 1619316213
445 HURFFVILLE CROSSKEYS RD STE A
Sewell, NJ 08080
(856) 557-7546
✔ PECOS✔ Accepts Medicare0.3 mi
Indrani Sen Hightower, M.D.
Neurology
NPI 1952410458
445 HURFFVILLE CROSSKEYS RD STE B16
Sewell, NJ 08080
(856) 352-6660
✔ PECOS✔ Accepts Medicare0.3 mi
Mark Edelstein, M.D.
Interventional Radiology
NPI 1437684446
435 HURFFVILLE CROSS KEYS RD
Turnersville, NJ 08012
(856) 582-2500
✔ PECOS✔ Accepts Medicare0.3 mi
Marc Mongeau, D.O.
Pulmonary Disease
NPI 1053662379
435 HURFFVILLE CROSS KEYS RD
Turnersville, NJ 08012
(856) 513-4124
✔ PECOS✔ Accepts Medicare0.3 mi
Philip Willsie, D.O.
Critical Care (Intensivists)
NPI 1669710638
435 HURFFVILLE CROSS KEYS RD
Turnersville, NJ 08012
(856) 513-4124
✔ PECOS✔ Accepts Medicare0.3 mi
Stephanie D'angelo
Mental Health Counselor
NPI 1629378740
454 HURFFVILLE CROSSKEYS RD
Sewell, NJ 08080
(856) 582-1419
✔ PECOS✔ Accepts Medicare0.3 mi
Sara Spinner, RDN
Registered Dietitian or Nutrition Professional
NPI 1336773530
100 KINGS WAY E STE D1
Sewell, NJ 08080
(856) 264-2955
✔ Accepts Medicare0.4 mi
Joseph Gallagher, DO
Family Practice
NPI 1841229457
485 HURFFVILLE CROSSKEYS RD
Sewell, NJ 08080
(856) 557-5555
✔ PECOS✔ Accepts Medicare0.5 mi
See all 438 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Kennedy Medical Group Practice, P.C. enrolled in Medicare?

Yes. Kennedy Medical Group Practice, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kennedy Medical Group Practice, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 438 clinicians in 46 Medicare specialties reassign their Medicare billing to Kennedy Medical Group Practice, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (118), Internal Medicine (84) and Family Practice (27). Of these, 9 practice at this address and 168 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.