KENNEDY MEDICAL GROUP PRACTICE P.C. D/B/A KENNEDY HEALTH ALLIANCE
NPI 1790215218
Internal Medicine - Pulmonary Disease in Sewell, NJ

Active since June 18, 2017
900 MEDICAL CENTER DR STE 205, SEWELL, NJ 08080(844) 542-2273 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2018, Oct 19, 2017, Jun 18, 2017 (3 updates tracked since 2017).

  • Organization
  • Internal Medicine
  • Pulmonary Disease

About KENNEDY MEDICAL GROUP PRACTICE P.C. D/B/A KENNEDY HEALTH ALLIANCE

This page provides the complete NPI Profile along with additional information for Kennedy Medical Group Practice P.c. D/b/a Kennedy Health Alliance, an internist established in Sewell, New Jersey operating as a Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1790215218 assigned on June 2017. The practitioner's primary taxonomy code is 207RP1001X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Kennedy Medical Group Practice P.c. D/b/a Kennedy Health Alliance operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Carman Ciervo (Evp/cpe)

NPI
1790215218 Verify this NPI
Provider Name
KENNEDY MEDICAL GROUP PRACTICE P.C. D/B/A KENNEDY HEALTH ALLIANCE
Entity Type
Organization
Location Address
900 MEDICAL CENTER DR STE 205 SEWELL, NJ 08080
Location Phone
(844) 542-2273
Mailing Address
205 E LAUREL RD STRATFORD, NJ 08084
Mailing Fax
(856) 344-2315
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-18-2017
Last Update Date
06-16-2018
Code Navigator

An internist like Kennedy Medical Group Practice P.c. D/b/a Kennedy Health Alliance is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARMAN CIERVO

Authorized Official Title
EVP/CPE
Authorized Official Phone
(856) 344-7360

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0411248MEDICAID (05)NJ 

Reviews for KENNEDY MEDICAL GROUP PRACTICE P.C. D/B/A KENNEDY HEALTH ALLIANCE

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Obstetrics)
900 MEDICAL CENTER DR STE 205
SEWELL, NJ 08080
Internal Medicine (Pulmonary Disease)
900 MEDICAL CENTER DR STE 205
SEWELL, NJ 08080
Obstetrics & Gynecology (Gynecologic Oncology)
900 MEDICAL CENTER DR STE 205
SEWELL, NJ 08080
Nurse Practitioner (Family)
900 MEDICAL CENTER DR STE 205
SEWELL, NJ 08080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790215218, enumerated as an "organization" on June 18, 2017.

The provider is located at 900 MEDICAL CENTER DR STE 205 SEWELL, NJ 08080 and the phone number is (844) 542-2273.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.