D/B/A/ KENNEDY HEALTH ALLIANCE
NPI 1255743357
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Sicklerville, NJ

NPI Status: Active since May 22, 2014

Contact Information

524 WILLIAMSTOWN ROAD
SICKLERVILLE, NJ
ZIP 08081
Phone: (856) 772-9600
Fax: (856) 772-9650

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About D/B/A/ KENNEDY HEALTH ALLIANCE

This page provides the complete NPI Profile along with additional information for D/b/a/ Kennedy Health Alliance, a provider established in Sicklerville, New Jersey operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1255743357 assigned on May 2014. The practitioner's primary taxonomy code is 208G00000X with license number 25MB03854300 (NJ). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as D/b/a/ Kennedy Health Alliance. The authorized official of this NPI record is Katherine Schleider (Vpclinical Integration & Population)

NPI
1255743357
Provider Legal Name
KENNEDY MEDICAL GROUP PRACTICE, P.C.
Other Organization Name
D/B/A/ KENNEDY HEALTH ALLIANCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
524 WILLIAMSTOWN ROAD SICKLERVILLE, NJ 08081
Location Phone
(856) 772-9600
Location Fax
(856) 772-9650
Mailing Address
205 E. LAUREL ROAD 2ND FLOOR STRATFORD, NJ 08084
Mailing Phone
(856) 783-1987
Mailing Fax
(856) 772-9650
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-22-2014
Last Update Date
05-22-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
License No.
25MB03854300
License State
NJ
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHERINE SCHLEIDER

Authorized Official Title
VPCLINICAL INTEGRATION & POPULATION
Authorized Official Phone
(856) 783-1987

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3911101MEDICAID (05)NJ 
P00633440OTHER (01)NJRAILROAD MEDICARE
C54051MEDICARE UPIN (02)NJ 
631322MEDICARE PIN (08)NJ 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255743357, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 4 + 4 + 6 + 3 + 1 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1255743357.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
524 WILLIAMSTOWN ROAD, ADLER'S PHARMACY
SICKLERVILLE, NJ 08081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255743357, enumerated as an "organization" on May 22, 2014.

The provider is located at 524 WILLIAMSTOWN ROAD SICKLERVILLE, NJ 08081 and the phone number is (856) 772-9600.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.