KENNEDY MEMORIAL HOSPITALS-UNIVERSITY MEDICAL CENTER (NPI# 1699861914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699861914 |
| Entity Type | Organization |
| Organization Name | KENNEDY MEMORIAL HOSPITALS-UNIVERSITY MEDICAL CENTER |
| Practice Address |
2201 Chapel Ave W Cherry Hill NJ 08002-2048 |
| Mailing Address |
Po Box 48023 Newark NJ 07101-4823 |
| Practice Telephone | 8564886500 |
| Practice Fax Number | 8564886526 |
| Mailing Telephone | 8566615164 |
| Mailing Fax Number | 8566615274 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOSEPH M LARIO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8566615144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | 10401 | NJ | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4140206 | 05 |
| Street Address |
2201 CHAPEL AVE W |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08002-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932108156 | Joseph J. Delaurentis | Radiology | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2005-07-19 |
| 1689207110 | Andrea Bookoff | Dietitian, Registered | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2020-02-12 |
| 1841837168 | Arlene Rose Alinea Dobbins | Family Medicine | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2019-12-05 |
| 1275177172 | Marla Ikalina | Social Worker | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2019-11-04 |
| 1578021358 | Rebecca Marie Reit | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2019-03-11 |
| 1922578095 | Jennifer Patridge | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-11-30 |
| 1598232399 | Edward Kevin Beatty | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-10-30 |
| 1467928341 | Natalie Rae Mannion | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-10-18 |
| 1770067514 | Kristina Sacco | Nurse Practitioner | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-09-18 |
| 1417445339 | Gina Marie Mariani | Nurse Practitioner | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878547 | Rachel J Crutchley | Behavioral Analyst | 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 | 2020-10-13 |
| 1356954713 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 650 Garden Park Blvd, Cherry Hill, NJ 08002 | 2020-08-26 |
| 1104483825 | Advocare, LLC | Specialist | 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 | 2019-05-29 |
| 1881155299 | Tyesha Thomas | Counselor | 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 | 2019-03-28 |
| 1982184479 | Brian Keith Smalls Jr. | Early Intervention Provider Agency | 1701 Bishop View Circle, Cherry Hill, NJ 08002 | 2018-08-15 |
| 1124510094 | Salvatore Montana Messina | Student in an Organized Health Care Education/Training Program | 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 | 2018-06-05 |
| 1871010397 | Jocelyn Lea Daigle | Counselor | 2201 Chapel Avenue W, Cherry Hill, NJ 08002 | 2017-08-25 |
| 1225559495 | Kennedy Medical Group Practice P.C. | Dietitian, Registered | 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 | 2017-06-28 |
| 1245750926 | Casey Rich | Behavioral Analyst | 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 | 2017-06-22 |
| 1790211514 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Nevada Ave, Cherry Hill, NJ 08002 | 2017-05-11 |
| Find all providers in zip 08002 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235784307 | Bergen Enterprises Center LLC | Rehabilitation, Substance Use Disorder Unit | 22-08 Route 208 Ste 2a, Fair Lawn, NJ 07410-2609 | 2019-08-06 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1518471895 | Urmajesty Banktruckfit Solutions Inc | Rehabilitation, Substance Use Disorder Unit | 6 Benedette Dr, Waterford Works, NJ 08089-2440 | 2017-11-26 |
| 1346577202 | Sunrise Detox Center II | Rehabilitation, Substance Use Disorder Unit | 1272 Long Hill Rd, Stirling, NJ 07980-1010 | 2009-11-12 |
| 1689729444 | New Life Recovery Center,inc | Rehabilitation, Substance Use Disorder Unit | 23 Colfax Ave, Pompton Lakes, NJ 07442-1709 | 2007-01-24 |
| 1336794312 | Inspira Medical Centers, Inc. | Rehabilitation, Substance Use Disorder Unit | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2019-08-06 |
| 1598277618 | Jewish Family and Children's Service | Rehabilitation, Substance Use Disorder Unit | 705 Summerfield Ave, Asbury Park, NJ 07712-6921 | 2017-10-30 |
| 1982810248 | Hmh Carrier Clinic, Inc | Rehabilitation, Substance Use Disorder Unit | 252 County Road 601, Belle Mead, NJ 08502-3923 | 2007-05-15 |
| 1518009588 | Princeton Healthcare System, A New Jersey Non-profit Corporation | Rehabilitation, Substance Use Disorder Unit | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2007-02-13 |
| 1497819866 | St. Clares Hospital | Rehabilitation, Substance Use Disorder Unit | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2006-12-20 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY HILL |
| Zip Code | 08002 |
Please comment or provide details below to improve the information on KENNEDY MEMORIAL HOSPITALS-UNIVERSITY MEDICAL CENTER.
| 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.