1. Home
  2. Directory
  3. New Jersey
  4. Turnersville
  5. Psychiatry Neurology
  6. NPI Profile

KENNEDY MEDICAL GROUP PRACTICE, PC
NPI 1982069688
Psychiatry & Neurology - Neurology in Turnersville, NJ

Active since December 22, 2015
151 FRIES MILL RD STE 102, TURNERSVILLE, NJ 08012(856) 352-6660(856) 269-4258 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Oct 19, 2017, Dec 22, 2015 (3 updates tracked since 2015).

About Kennedy Medical Group Practice, Pc NPPES

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

KENNEDY MEDICAL GROUP PRACTICE, PC (NPI 1982069688) is a healthcare organization registered as a neurology in Turnersville, New Jersey and active in the NPI registry since December 2015. The organization maintains a secondary practice location in Marlton and lists Carman A Ciervo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982069688
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameKENNEDY MEDICAL GROUP PRACTICE, PC
Location Address151 FRIES MILL RD STE 102Turnersville, NJ 08012-2056
Mailing Address333 Laurel Oak RdVoorhees, NJ 08043-4453 · (856) 783-1987 · Fax (856) 783-1403
Phone(856) 352-6660
Fax(856) 269-4258
Organization SubpartNo
Authorized OfficialCarman A CiervoCeo · (856) 783-1987
Enumeration DateDecember 22, 2015
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1982069688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
151 FRIES MILL RD STE 102, Turnersville, NJ 08012
Open in Google Maps ↗

Secondary Practice Location 1

Location 173 N Maple Ave, Ste. BMarlton, NJ 08053-1782 · Phone (856) 783-1987 · Fax (856) 783-1403

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 2

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

DR. JOSEPH L DEROSE D.O.
Internal Medicine (Infectious Disease)
151 FRIES MILL RD STE 102
TURNERSVILLE, NJ 08012
Camden County (856) 566-3190
DR. SOLOMON KYAKA BISANGWA MD
Psychiatry & Neurology (Neurology)
151 FRIES MILL RD STE 102
TURNERSVILLE, NJ 08012
Camden 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, PC's NPI number?

The NPI number for Kennedy Medical Group Practice, PC is 1982069688. It was assigned to this organization in the NPPES registry on December 22, 2015.

Where is Kennedy Medical Group Practice, PC located?

Kennedy Medical Group Practice, PC is located at 151 Fries Mill Rd Ste 102, Turnersville, NJ 08012. The listed phone number is (856) 352-6660.

What is Kennedy Medical Group Practice, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Kennedy Medical Group Practice, PC was last updated on March 17, 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.