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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: August 16, 2026.

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

About Kennedy Medical Group Practice P.c. D/b/a Kennedy Health Alliance NPPES

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

KENNEDY MEDICAL GROUP PRACTICE P.C. D/B/A KENNEDY HEALTH ALLIANCE (NPI 1790215218) is a healthcare organization registered as a pulmonary disease in Sewell, New Jersey and active in the NPI registry since June 2017. The organization lists Carman Ciervo, Evp/cpe, as its authorized official.

NPPES Registry Identity

NPI1790215218
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameKENNEDY MEDICAL GROUP PRACTICE P.C. D/B/A KENNEDY HEALTH ALLIANCE
Location Address900 MEDICAL CENTER DR STE 205Sewell, NJ 08080-2358
Mailing Address205 E Laurel RdStratford, NJ 08084-1301 · Fax (856) 344-2315
Phone(844) 542-2273
Organization SubpartNo
Authorized OfficialCarman CiervoEvp/cpe · (856) 344-7360
Enumeration DateJune 18, 2017
Last NPPES UpdateJune 16, 20183 updates tracked since enumeration
✔ NPI 1790215218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
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.
900 MEDICAL CENTER DR STE 205, Sewell, NJ 08080
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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 3

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

LINDSEY ELAINE FORD M.D.
Obstetrics & Gynecology (Obstetrics)
900 MEDICAL CENTER DR STE 205
SEWELL, NJ 08080
Gloucester County (856) 557-5400
DR. ROBIN R WILSON-SMITH D.O.
Obstetrics & Gynecology (Gynecologic Oncology)
900 MEDICAL CENTER DR STE 205
SEWELL, NJ 08080
Gloucester County (856) 557-5400
DR. JASON M BECKER D.O.
Internal Medicine (Pulmonary Disease)
900 MEDICAL CENTER DR STE 205
SEWELL, NJ 08080
Gloucester County (844) 542-2273

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. D/B/A Kennedy Health Alliance's NPI number?

The NPI number for Kennedy Medical Group Practice P.C. D/B/A Kennedy Health Alliance is 1790215218. It was assigned to this organization in the NPPES registry on June 18, 2017.

Where is Kennedy Medical Group Practice P.C. D/B/A Kennedy Health Alliance located?

Kennedy Medical Group Practice P.C. D/B/A Kennedy Health Alliance is located at 900 Medical Center Dr Ste 205, Sewell, NJ 08080. The listed phone number is (844) 542-2273.

What is Kennedy Medical Group Practice P.C. D/B/A Kennedy Health Alliance's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Kennedy Medical Group Practice P.C. D/B/A Kennedy Health Alliance was last updated on June 16, 2018. 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.