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KENNEDY HEALTH ALLIANCE
NPI 1497295109
Psychologist - Prescribing (Medical) in Blackwood, NJ

Active since February 28, 2017
900 ROUTE 168, SUITE C#3, BLACKWOOD, NJ 08012(856) 857-6920 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Health Alliance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY HEALTH ALLIANCE (NPI 1497295109) is a healthcare organization registered as a prescribing (medical) in Blackwood, New Jersey and active in the NPI registry since February 2017. The organization lists Carman A Ciervo, Cpe, as its authorized official.

NPPES Registry Identity

NPI1497295109
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NameKENNEDY MEDICAL GROUP PRACTICE P.C.
Location Address900 ROUTE 168, SUITE C#3Blackwood, NJ 08012-3233
Mailing Address900 Route 168, Suite C#3Blackwood, NJ 08012-3233
Phone(856) 857-6920
Organization SubpartNo
Authorized OfficialCarman A CiervoCpe · (856) 344-7360
Enumeration DateFebruary 28, 2017
✔ NPI 1497295109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
900 ROUTE 168, Blackwood, NJ 08012
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Other Names 1

Doing Business AsKennedy Health Alliance

Other Identifiers 2

Medicaid0411248NJ
Medicare PIN348438NJ

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 20

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

DR. SONIA I MEDINA MD
Pediatrics
900 ROUTE 168, SUITE J2
TURNERSVILLE, NJ 08012
Camden County (856) 228-1103
DR. VALERIE DIPIETRO LONGO OD
Optometrist (Vision Therapy)
900 ROUTE 168
TURNERSVILLE, NJ 08012
Camden County (856) 227-0720
SUMMERVILLE COUNSELING SERVICES LLC
Social Worker (Clinical)
900 ROUTE 168, SUITE A-4
TURNERSVILLE, NJ 08012
Camden County (856) 343-9889
JOHN W DIERING OD
Optometrist (Vision Therapy)
900 ROUTE 168, SUITE E5
TURNERSVILLE, NJ 08012
Camden County (856) 227-0720
STACEY CURTIS PT
Physical Medicine & Rehabilitation
900 ROUTE 168, SUITE A-8
TURNERSVILLE, NJ 08012
Camden County (856) 227-1440
MS. DEBORAH ERLANDSON RN, CDCES
Registered Nurse
900 ROUTE 168
TURNERSVILLE, NJ 08012
Camden County (856) 728-3636
HEALTH NETWORK LABORATORIES
Clinical Medical Laboratory
900 ROUTE 168, SUITE I-2
TURNERSVILLE, NJ 08012
Camden County (856) 383-5950
ALLISON PFROMMER
Physical Therapist
900 ROUTE 168
TURNERSVILLE, NJ 08012
Camden County (856) 227-1440

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 1497295109. It was assigned to this organization in the NPPES registry on February 28, 2017. The provider is doing business as Kennedy Health Alliance.

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

Kennedy Medical Group Practice P.C. is located at 900 Route 168 Suite C#3, Blackwood, NJ 08012. The listed phone number is (856) 857-6920.

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

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Kennedy Medical Group Practice P.C. was last updated on February 28, 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.