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KENNEDY MEDICAL GROUP PRACTICE, P.C.
NPI 1427350040
Family Medicine in Marlton, NJ

Active since December 02, 2010
73 N MAPLE AVE, SUITE B, MARLTON, NJ 08053(856) 596-0558(856) 596-4043 Get Directions Write a Review

NPPES record last updated: October 19, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2017, Jan 12, 2017 (2 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 1427350040) is a healthcare organization registered as a family medicine in Marlton, New Jersey and active in the NPI registry since December 2010. The organization lists Carman A Ciervo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427350040
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKENNEDY MEDICAL GROUP PRACTICE, P.C.
Location Address73 N MAPLE AVE, SUITE BMarlton, NJ 08053-1782
Mailing Address333 Laurel Oak RdVoorhees, NJ 08043-4453 · (856) 566-5273 · Fax (856) 566-5283
Phone(856) 596-0558
Fax(856) 596-4043
Organization SubpartYesParent: Kennedy University Hospital
Authorized OfficialCarman A CiervoCeo · (856) 783-1987
Enumeration DateDecember 2, 2010
Last NPPES UpdateOctober 19, 20172 updates tracked since enumeration
✔ NPI 1427350040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
73 N MAPLE AVE, Marlton, NJ 08053
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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, 6 practice at this address and 128 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
Matthew Gettings, D.O.
Family Practice
NPI 1962693432
73 N MAPLE AVE SUIRE B
Marlton, NJ 08053
(844) 542-2273
✔ PECOS✔ Accepts MedicareSame address
Kristie Mcnally, FNP
Nurse Practitioner
NPI 1841700952
73 N MAPLE AVE STE B
Marlton, NJ 08053
(844) 542-2273
✔ PECOS✔ Accepts MedicareSame address
Amina Mehrab, M.D
Internal Medicine
NPI 1346691185
73 N MAPLE AVE
Marlton, NJ 08053
(856) 596-7550
✔ PECOS✔ Accepts MedicareSame address
Aban Nikoonezhad
Family Practice
NPI 1770103368
73 N MAPLE AVE
Marlton, NJ 08053
(844) 542-2273
✔ PECOS✔ Accepts MedicareSame address
Annelise Stoffels
Nurse Practitioner
NPI 1578388724
73 N MAPLE AVE
Marlton, NJ 08053
(844) 542-2273
✔ PECOS✔ Accepts MedicareSame address
Kasey Tankelewicz, CRNP
Nurse Practitioner
NPI 1861374068
73 N MAPLE AVE
Marlton, NJ 08053
(856) 352-6660
✔ PECOS✔ Accepts MedicareSame address
Xiaoping Ma, M.D., PH.D.
Neurology
NPI 1912946724
100 BRICK RD SUITE 304
Marlton, NJ 08053
(856) 988-9888
✔ PECOS✔ Accepts Medicare0.3 mi
Maitri Padiya, APN
Nurse Practitioner
NPI 1467287185
90 BRICK RD FL 3
Marlton, NJ 08053
(856) 355-6000
✔ PECOS✔ Accepts Medicare0.3 mi
Melissa Parisi
Registered Dietitian or Nutrition Professional
NPI 1093105561
401 ROUTE 73 NORTH BUILDING 10 SUITE 320
Marlton, NJ 08053
(856) 335-4118
✔ Accepts Medicare1.2 mi
Talya Spivack, MD
Cardiovascular Disease (Cardiology)
NPI 1417151549
2309 E EVESHAM RD STE 201A
Voorhees, NJ 08043
(856) 325-5400
✔ PECOS✔ Accepts Medicare2.4 mi
Lori Napravnik, APN
Nurse Practitioner
NPI 1386331544
1865 ROUTE 70 E
Cherry Hill, NJ 08003
(800) 789-7366
✔ PECOS✔ Accepts Medicare3.0 mi
Tammy Le, AUD
Qualified Audiologist
NPI 1922790476
200 BOWMAN DR STE D285
Voorhees, NJ 08043
(856) 602-4000
3.0 mi
Andro Zangaladze, M.D.
Neurology
NPI 1255358602
200 BOWMAN DR SUITE E385
Voorhees, NJ 08043
(856) 247-7770
✔ PECOS✔ Accepts Medicare3.1 mi
Michael Greenberg, M.D.
Radiation Oncology
NPI 1548264120
2090 SPRINGDALE RD STE B
Cherry Hill, NJ 08003
(856) 751-9010
✔ PECOS✔ Accepts Medicare3.2 mi
Beena Daniel, M.D.
Family Practice
NPI 1386772515
1605 E EVESHAM RD SUITE 100
Voorhees, NJ 08043
(856) 741-7100
✔ PECOS✔ Accepts Medicare3.4 mi
Brett Garber, D.O., LLC
Plastic and Reconstructive Surgery
NPI 1477594117
1605 E EVESHAM RD SUITE 201
Voorhees, NJ 08043
(856) 616-9200
✔ PECOS✔ Accepts Medicare3.4 mi
Mark Condoluci, D.O.
Infectious Disease
NPI 1851603120
709 HADDONFIELD BERLIN RD GARDEN STATE INFECTIOUS DISEASES ASSOCIATES, P.A.
Voorhees, NJ 08043
(856) 566-3190
✔ PECOS✔ Accepts Medicare3.9 mi
Kimberly Jones, LCSW
Clinical Social Worker
NPI 1487267167
709 HADDONFIELD BERLIN RD
Voorhees, NJ 08043
(856) 566-3190
✔ PECOS✔ Accepts Medicare3.9 mi
George Belecanech, M.D.
Allergy/Immunology
NPI 1376691626
443 LAUREL OAK RD
Voorhees, NJ 08043
(844) 542-2273
✔ PECOS✔ Accepts Medicare4.4 mi
Sahil Patel, MD
Psychiatry
NPI 1114549433
443 LAUREL OAK RD STE 130
Voorhees, NJ 08043
(856) 857-6920
✔ PECOS✔ Accepts Medicare4.4 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 1427350040. It was assigned to this organization in the NPPES registry on December 2, 2010.

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

Kennedy Medical Group Practice, P.C. is located at 73 N Maple Ave Suite B, Marlton, NJ 08053. The listed phone number is (856) 596-0558.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 6 practice at this address and 128 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 October 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.