KENNEDY MEDICAL GROUP PRACTICE P.C. (NPI# 1598937617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598937617 |
| Entity Type | Organization |
| Organization Name | KENNEDY MEDICAL GROUP PRACTICE P.C. |
| Other Organization Name | KENNEDY HEALTH ALLIANCE POINT PLAZA |
| Practice Address |
565 Egg Harbor Rd Sewell NJ 08080-2335 |
| Mailing Address |
333 Laurel Oak Rd Voorhees NJ 08043-4453 |
| Practice Telephone | 8562560600 |
| Mailing Telephone | 8563447360 |
| Mailing Fax Number | 8567831403 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2016-07-27 |
| Authorized Official Name | GREG TAYLOR (PHYSICIAN) |
| Authorized Official Telephone | 8563447360 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kennedy Health alliance Point Plaza | 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 |
| 1598203267 | Kennedy Medical Group Practice P.C. | Internal Medicine | 151 Fries Mill Rd, Suite 100, Turnersville, NJ 08012-2016 | 2017-02-02 |
| 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 |
| Street Address |
565 EGG HARBOR RD |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487607958 | Hgnc Cardiology Assoc., P.a. | Specialist | 565 Egg Harbor Rd, Sewell, NJ 08080-2335 | 2006-05-18 |
| 1134764947 | Jaclyn Teresa Thatcher | Nurse Practitioner | 565 Egg Harbor Rd, Sewell, NJ 08080-2335 | 2019-11-15 |
| 1437539251 | Douglas Floyd Carey | Nurse Practitioner | 565 Egg Harbor Rd, Sewell, NJ 08080-2335 | 2015-06-06 |
| 1659662732 | New Jersey Heart, Inc. | Internal Medicine | 565 Egg Harbor Rd, Sewell, NJ 08080-2335 | 2011-04-25 |
| 1417164302 | Deepa R. Quadir-alam | Physician Assistant | 565 Egg Harbor Rd, Sewell, NJ 08080-2335 | 2007-05-17 |
| 1457369191 | Tara Dibruno | Nurse Practitioner | 565 Egg Harbor Rd, Sewell, NJ 08080-2335 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629509435 | Suzanna Hosein | Family Medicine | 570 Egg Harbor Rd Ste C2, Sewell, NJ 08080-2359 | 2017-03-23 |
| 1033597786 | Robert Venuti Consulting, LLC | Family Medicine | 26 Clearbrook Ln, Sewell, NJ 08080-3320 | 2015-05-14 |
| 1639583990 | Craig Bober | Family Medicine | 660 Woodbury Glassboro Rd Ste 26, Sewell, NJ 08080-3738 | 2014-06-16 |
| 1811246515 | Lourdes Medical Associates, Pa | Family Medicine | 570 Egg Harbor Rd Ste B5, Sewell, NJ 08080-2359 | 2012-09-10 |
| 1568549335 | Joseph Cavallaro IIi | Family Medicine | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080 | 2006-11-01 |
| 1831270610 | Diana Lorraine Saddel | Family Medicine | 543 Egg Harbor Rd, Sewell, NJ 08080-2335 | 2006-10-18 |
| 1073694535 | Kathleen A Bradley | Family Medicine | 239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ 08080 | 2006-10-18 |
| 1508965310 | Donald Howard Stock | Family Medicine | 211 Countyhouse Road, Sewell, NJ 08080 | 2006-09-21 |
| 1649296294 | Kennedy University Hospital, Inc | Family Medicine | 445 Hurffville Crosskeys Rd Bldg A, Sewell, NJ 08080-2337 | 2006-07-15 |
| 1932144847 | Miles A Brumberg | Family Medicine | 601 Hurffville Crosskeys Rd, Sewell, NJ 08080-1748 | 2006-06-17 |
| Find all providers in SEWELL | ||||
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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.