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: August 02, 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
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

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 18

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

Anesthesiology
73 N MAPLE AVE, SUITE A
MARLTON, NJ 08053
Psychiatry & Neurology (Neurology)
73 N MAPLE AVE
MARLTON, NJ 08053
Clinic/Center (Physical Therapy)
73 N MAPLE AVE, SUITE A
MARLTON, NJ 08053
Anesthesiology
73 N MAPLE AVE, SUITE A
MARLTON, NJ 08053
Counselor (Addiction (Substance Use Disorder))
73 N MAPLE AVE
MARLTON, NJ 08053
Internal Medicine
73 N MAPLE AVE
MARLTON, NJ 08053
Podiatrist
73 N MAPLE AVE, SUITE A
MARLTON, NJ 08053
Physician Assistant
73 N MAPLE AVE
MARLTON, NJ 08053

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.

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 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.