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KENNEDY HEALTH ALLIANCE
NPI 1952848905
Family Medicine in Sewell, NJ

Active since January 30, 2017
100 KINGS WAY E, SUITE D2, SEWELL, NJ 08080(856) 218-7730(856) 218-4808 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Health Alliance NPPES

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

KENNEDY HEALTH ALLIANCE (NPI 1952848905) is a healthcare organization registered as a family medicine in Sewell, New Jersey and active in the NPI registry since January 2017. The organization lists Carmen Ciervo, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1952848905
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKENNEDY MEDICAL GROUP PRACTICE PC
Location Address100 KINGS WAY E, SUITE D2Sewell, NJ 08080-2237
Mailing Address1099 White Horse RdVoorhees, NJ 08043-4405 · (856) 566-5202
Phone(856) 218-7730
Fax(856) 218-4808
Organization SubpartNo
Authorized OfficialCarmen CiervoChief Executive Officer · (856) 566-5202
Enumeration DateJanuary 30, 2017
✔ NPI 1952848905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA04155300
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 KINGS WAY E, 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

Other Providers at the Same Location NPPES 18

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

TRACEY GREGORY RRT
Respiratory Therapist, Certified (Pulmonary Rehabilitation)
100 KINGS WAY E
SEWELL, NJ 08080
Gloucester County (856) 256-0007
DR. TARAL SHAH DPM
Podiatrist (Foot & Ankle Surgery)
100 KINGS WAY E, SUITE D6
SEWELL, NJ 08080
Gloucester County (856) 582-6082
JULAINE MILLER DPM
Podiatrist (Foot & Ankle Surgery)
100 KINGS WAY E, SUITE D6
SEWELL, NJ 08080
Gloucester County (856) 582-6082
ADVANTAGE SLEEP CENTERS, LLC
Clinic/Center (Sleep Disorder Diagnostic)
100 KINGS WAY E
SEWELL, NJ 08080
Gloucester County (856) 256-0007
CORNERSTONE FOOT & ANKLE
Podiatrist (Foot & Ankle Surgery)
100 KINGS WAY E, SUITE D6
SEWELL, NJ 08080
Gloucester County (856) 582-6082
NEW JERSEY PODIATRIC PHYSICIANS & SURGEONS GROUP, LLC
Podiatrist (Foot & Ankle Surgery)
100 KINGS WAY E, SUITE D6
SEWELL, NJ 08080
Gloucester County (856) 582-6082
DR. FRANK OWARE DPM
Podiatrist (Foot & Ankle Surgery)
100 KINGS WAY E, SUITE D6
SEWELL, NJ 08080
Gloucester County (856) 506-2950
GREGORY BLASE PERSICHETTI D.O.
Dermatology (MOHS-Micrographic Surgery)
100 KINGS WAY E, SUITE A-3
SEWELL, NJ 08080
Gloucester County (856) 589-3331

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 PC's NPI number?

The NPI number for Kennedy Medical Group Practice PC is 1952848905. It was assigned to this organization in the NPPES registry on January 30, 2017. The provider is doing business as Kennedy Health Alliance.

Where is Kennedy Medical Group Practice PC located?

Kennedy Medical Group Practice PC is located at 100 Kings Way E Suite D2, Sewell, NJ 08080. The listed phone number is (856) 218-7730.

What is Kennedy Medical Group Practice PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kennedy Medical Group Practice PC was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.