KENNEDY HEALTH ALLIANCE
NPI 1942746367
Internal Medicine in Woodbury, NJ

Active since January 09, 2017
159 S BROAD ST, WOODBURY, NJ 08096(844) 542-2273 Get Directions Write a Review

NPPES record last updated: October 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2017, Apr 18, 2017, Jan 9, 2017 (3 updates tracked since 2017).

About Kennedy Health Alliance NPPES

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

KENNEDY HEALTH ALLIANCE (NPI 1942746367) is a healthcare organization registered as an internal medicine in Woodbury, New Jersey and active in the NPI registry since January 2017. The organization lists Carman A Ciervo, Cpe, as its authorized official.

NPPES Registry Identity

NPI1942746367
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKENNEDY MEDICAL GROUP PRACTICE P.C.
Location Address159 S BROAD STWoodbury, NJ 08096-2410
Mailing Address205 E Laurel RdStratford, NJ 08084-1301 · (856) 344-7360 · Fax (856) 344-2315
Organization SubpartNo
Authorized OfficialCarman A CiervoCpe · (856) 344-7360
Enumeration DateJanuary 9, 2017
Last NPPES UpdateOctober 19, 20173 updates tracked since enumeration
NPI 1942746367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
159 S BROAD ST, Woodbury, NJ 08096

Other Names 1

Doing Business AsKennedy Health Alliance

Other Identifiers 2

Medicare PIN348438NJ
Medicaid0411248NH

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 6

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

Case Manager/Care Coordinator
159 S BROAD ST
WOODBURY, NJ 08096
Nurse Practitioner (Family)
159 S BROAD ST
WOODBURY, NJ 08096
Social Worker
159 S BROAD ST
WOODBURY, NJ 08096
Pharmacist
159 S BROAD ST
WOODBURY, NJ 08096
Case Manager/Care Coordinator
159 S BROAD ST
WOODBURY, NJ 08096
Case Manager/Care Coordinator
159 S BROAD ST
WOODBURY, NJ 08096

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 1942746367. It was assigned to this organization in the NPPES registry on January 9, 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 159 S Broad St, Woodbury, NJ 08096. The listed phone number is (844) 542-2273.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kennedy Medical Group Practice P.C. was last updated on October 19, 2017. 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.