KENNEDY MEDICAL GROUP PRACTICE P.C. (NPI# 1598203267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598203267 |
| Entity Type | Organization |
| Organization Name | KENNEDY MEDICAL GROUP PRACTICE P.C. |
| Other Organization Name | KENNEDY HEALTH ALLIANCE |
| Practice Address |
151 Fries Mill Rd Suite 100 Turnersville NJ 08012-2016 |
| Practice Telephone | 8565663190 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |
| Authorized Official Name | CARMAN A CIERVO (CPE) |
| Authorized Official Telephone | 8563447360 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0411248 | 05 |
| Other Name | Type Code |
|---|---|
| Kennedy Health Alliance | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225559495 | Kennedy Medical Group Practice P.C. | Dietitian, Registered | 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 | 2017-06-28 |
| 1881138154 | Kennedy Medical Group Practice P.C. | Family Medicine | 630 B South White Horse Pike, Hammonton, NJ 08037 | 2016-12-06 |
| 1881987337 | Kennedy Medical Group Practice P.C. | Internal Medicine | 1 A Regulus Drive, Turnersville, NJ 08012 | 2011-05-17 |
| 1568996098 | Kennedy Medical Group Practice P.C. | Internal Medicine | 151 Fries Mill Rd, Suite 301, Turnersville, NJ 08012-2016 | 2017-04-11 |
| 1497295109 | Kennedy Medical Group Practice P.C. | Psychologist | 900 Route 168, Suite C#3, Blackwood, NJ 08012-3233 | 2017-02-28 |
| 1871039180 | Kennedy Medical Group Practice P.C. | Family Medicine | 100 Black Horse Pike, Audubon, NJ 08106-1950 | 2017-01-10 |
| 1942746367 | Kennedy Medical Group Practice P.C. | Family Medicine | 159 S Broad St, Woodbury, NJ 08096-2410 | 2017-01-09 |
| 1437693421 | Kennedy Medical Group Practice P.C. | Psychiatry & Neurology | 1305 Kings Hwy N, N#4, Cherry Hill, NJ 08034-1919 | 2016-12-09 |
| 1023374766 | Kennedy Medical Group Practice P.C. | Internal Medicine | 1300 Liberty Pl, Sicklerville, NJ 08081-5710 | 2012-04-06 |
| 1952615981 | Kennedy Medical Group Practice P.C. | Family Medicine | 165 Princeton Ave, West Deptford, West Deptford, NJ 08096-3123 | 2010-08-02 |
| Street Address |
151 FRIES MILL RD SUITE 100 |
| City | TURNERSVILLE |
| State | NJ |
| Zip Code | 08012-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023019270 | Robert Bruce Schwartz | Internal Medicine | 151 Fries Mill Rd, Suite 400, Turnersville, NJ 08012-2016 | 2005-08-09 |
| 1568996098 | Kennedy Medical Group Practice P.C. | Internal Medicine | 151 Fries Mill Rd, Suite 301, Turnersville, NJ 08012-2016 | 2017-04-11 |
| 1740648807 | Dorothy Wiegand | Nurse Practitioner | 151 Fries Mill Rd, Suite 301, Turnersville, NJ 08012-2016 | 2016-02-04 |
| 1760849301 | Caroline Greene | Nurse Practitioner | 151 Fries Mill Rd, Suite 301, Turnersville, NJ 08012-2016 | 2016-01-27 |
| 1003212788 | Ra Pain Services, P.a. | Anesthesiology | 151 Fries Mill Rd, Suite 202, Turnersville, NJ 08012-2016 | 2014-11-07 |
| 1477982056 | Cristina Elizabeth Mazzeo | Counselor | 151 Fries Mill Rd, Suite 201, Turnersville, NJ 08012-2016 | 2013-11-05 |
| 1588006092 | Hope Ann Fitzgerald | Social Worker | 151 Fries Mill Rd, Turnersville, NJ 08012-2016 | 2013-07-25 |
| 1437493046 | Frank C. Mcmanus, Ph.d., PC | Counselor | 151 Fries Mill Rd, Suite 305, Turnersville, NJ 08012-2016 | 2012-11-20 |
| 1730432774 | Tricia Lynne Yeo | Dietetic Technician, Registered | 151 Fries Mill Rd, Suite 201, Turnersville, NJ 08012-2016 | 2012-10-15 |
| 1497029599 | Eastern Regional Pain Mgt, PC | Anesthesiology | 151 Fries Mill Rd, Turnersville, NJ 08012-2016 | 2012-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898550 | Caroline I Scott | In Home Supportive Care | 60 Lawrence Ln, Blackwood, NJ 08012 | 2020-07-17 |
| 1073154092 | Gina Marie Romano | Behavioral Analyst | 12 Braemar Ave, Blackwood, NJ 08012 | 2019-10-01 |
| 1245745777 | Chandler Group Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3408 Hight Street, Blackwood, NJ 08012 | 2017-12-06 |
| 1962917625 | Dpsp Health Care LLC | Home Health | 860 Rt. 168, Suite 207, Turners Ville, NJ 08012 | 2017-12-04 |
| 1871003103 | Sayana Modi LLC | Pharmacy | 460 Hurffville Crosskeys Rd, Tunersville, NJ 08012 | 2017-09-30 |
| 1427590827 | Cillo Chiropractic LLC | Chiropractor | 10 Woodlane Drive, Blackwood, NJ 08012 | 2016-11-16 |
| 1609327006 | Lena F Robinson | Registered Nurse | 435 Huffville Crosskeys Road, Turnersville, NJ 08012 | 2016-10-20 |
| 1316493026 | Partners In Homecare Services | In Home Supportive Care | 400 East Church St ., Blackwood, NJ 08012 | 2016-09-01 |
| 1710357710 | Wendy Hughes | Counselor | 900 Route 168 Ste B6, Turnersville, NJ 08012 | 2015-10-02 |
| 1043602337 | Erika White | Pharmacy Technician | 4001 State Route 42, Turnersville, NJ 08012 | 2015-02-24 |
| Find all providers in zip 08012 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003158247 | Joseph L Derose | Internal Medicine | 151 Fries Mill Rd Ste 102, Turnersville, NJ 08012-2056 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588224018 | Bergen Infectious Diseases Associates Inc | Internal Medicine | 185 Cedar Ln Ste U8, Teaneck, NJ 07666-4303 | 2019-06-17 |
| 1326604943 | Malik Medical Associates Usa Inc | Internal Medicine | 377 Jersey Ave Ste No410, Jersey City, NJ 07302-4393 | 2019-05-20 |
| 1134626815 | Hackensack Infectious Disease Associates, LLC | Internal Medicine | 311 S Irving St, Ridgewood, NJ 07450-5101 | 2018-04-10 |
| 1285146845 | Dr Pooja P Shah Mdpc Inc | Internal Medicine | 1964 Oak Tree Rd Ste B, Edison, NJ 08820-2016 | 2017-11-03 |
| 1740704931 | Divine Care LLC | Internal Medicine | 37 Van Zandt Rd, Skillman, NJ 08558-2100 | 2017-07-28 |
| 1073922324 | Ahmed Abdul Azim | Internal Medicine | 125 Paterson St, Meb 362, New Brunswick, NJ 08901-1962 | 2014-08-11 |
| 1437566205 | Uchenna Okereke | Internal Medicine | 93 Clerk St, Jersey City, NJ 07305-4323 | 2014-07-14 |
| 1487069167 | Mark Dinubile | Internal Medicine | 505 Bartram Rd, Moorestown, NJ 08057-1833 | 2014-06-21 |
| 1275964371 | Anand Athavale | Internal Medicine | 127 Old Short Hills Rd, Apt 236, West Orange, NJ 07052-1014 | 2013-11-28 |
| 1124360086 | Maria Regina Alivisatos | Internal Medicine | 389 Terhune Rd, Princeton, NJ 08540-3637 | 2013-03-19 |
| Find all providers with the same taxonomy | ||||
| City | TURNERSVILLE |
| Zip Code | 08012 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.