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KENNEDY HEALTH ALLIANCE
NPI 1669847646
Surgery in Cherry Hill, NJ

Active since December 02, 2015
2211 CHAPEL AVE WEST, STE 301, CHERRY HILL, NJ 08002(856) 665-2017(856) 488-6769 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 31, 2017, Dec 2, 2015 (3 updates tracked since 2015).

About Kennedy Health Alliance NPPES

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

KENNEDY HEALTH ALLIANCE (NPI 1669847646) is a healthcare organization registered as a surgery in Cherry Hill, New Jersey and active in the NPI registry since December 2015. The organization lists Carman Ciervo, Cpe, as its authorized official.

NPPES Registry Identity

NPI1669847646
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameKENNEDY MEDICAL GROUP PRACTICE, P.C.
Location Address2211 CHAPEL AVE WEST, STE 301Cherry Hill, NJ 08002
Mailing Address333 Laurel Oak RdVoorhees, NJ 08043-4453 · (856) 783-1987 · Fax (856) 783-1403
Phone(856) 665-2017
Fax(856) 488-6769
Organization SubpartNo
Authorized OfficialCarman CiervoCpe · (856) 344-7360
Enumeration DateDecember 2, 2015
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1669847646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
2211 CHAPEL AVE WEST, Cherry Hill, NJ 08002
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Other Names 1

Doing Business AsKennedy Health Alliance

Other Identifiers 1

Medicaid0411248NJ

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

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

LAUREN ANN FALCONE RD
Dietitian, Registered
2211 CHAPEL AVE WEST, SUITE 200
CHERRY HILL, NJ 08002
Camden County (856) 665-2017

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 1669847646. It was assigned to this organization in the NPPES registry on December 2, 2015. 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 2211 Chapel Ave West Ste 301, Cherry Hill, NJ 08002. The listed phone number is (856) 665-2017.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Kennedy Medical Group Practice, P.C. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.