KENNEDY HEALTH ALLIANCE
NPI 1629343421
Surgery - Vascular Surgery in Sewell, NJ

Q: What is Kennedy Medical Group Practice, P.C.'s NPI number?

The NPI number for Kennedy Medical Group Practice, P.C. is 1629343421. It was assigned to this organization in the NPPES registry on March 13, 2012. The provider is doing business as Kennedy Health Alliance.

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

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since March 13, 2012

543 EGG HARBOR ROAD, SEWELL, NJ 08080(856) 256-2063(856) 256-2064 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Kennedy Health Alliance NPPES

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

KENNEDY HEALTH ALLIANCE (NPI 1629343421) is a healthcare organization registered as a vascular surgery in Sewell, New Jersey and active in the NPI registry since March 2012. The organization lists Katherine Katherine, Vp Clinical Integration, as its authorized official.

NPPES Registry Identity

NPI1629343421

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameKENNEDY MEDICAL GROUP PRACTICE, P.C.

Location Address543 EGG HARBOR ROADSewell, NJ 08080-2335

Mailing Address205 E Laurel Rd, 2nd FloorStratford, NJ 08084-1301 · (856) 783-1892 · Fax (856) 783-1403

Phone(856) 256-2063

Fax(856) 256-2064

Organization SubpartYesParent: Kennedy Memorial Hospital University Medical Center Inc.

Authorized OfficialKatherine KatherineVp Clinical Integration · (856) 783-1982

Enumeration DateMarch 13, 2012

Last NPPES UpdateJune 18, 2014

✔ NPI 1629343421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in NJ · 25MA09025500

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

543 EGG HARBOR ROAD, Sewell, NJ 08080

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Other Names 1

Doing Business AsKennedy Health Alliance

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

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 1629343421. It was assigned to this organization in the NPPES registry on March 13, 2012. 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 543 Egg Harbor Road, Sewell, NJ 08080. The listed phone number is (856) 256-2063.

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

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Kennedy Medical Group Practice, P.C. was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.