KENNEDY DIALYSIS CENTER - VOORHEES – NPI #1972605004
Clinic/Center

KENNEDY DIALYSIS CENTER - VOORHEES is an AHC clinic located in VOORHEES TOWNSHIP, NJ. NPPES has assigned the NPI number 1972605004 to KENNEDY DIALYSIS CENTER - VOORHEES on September 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KENNEDY DIALYSIS CENTER - VOORHEES” is a dba name, the actual legal business name for this organization is KENNEDY UNIVERSITY HOSPITAL INC.. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 15 years ago on Dec 15, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNEDY DIALYSIS CENTER - VOORHEES below.

NPI Profile for
KENNEDY UNIVERSITY HOSPITAL INC.

NPI Number
1972605004
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KENNEDY UNIVERSITY HOSPITAL INC.
Doing Business As (dba): KENNEDY DIALYSIS CENTER - VOORHEES
Primary location
201 LAUREL OAK RD
SUITE A
VOORHEES TOWNSHIP, NJ 08043-4424
Phone: (856) 566-6123 Fax: (856) 566-9432
Mailing address
PO BOX 13703
PHILADELPHIA, PA 19101-3703
Phone: (856) 661-5164 Fax: (856) 661-5274
Organization Subpart
No
Authorized Official
JOSEPH LARIO
CHIEF FINANCIAL OFFICER
Phone: (856) 661-5144
Updated
Identifiers

Identifiers for KENNEDY DIALYSIS CENTER - VOORHEES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ5087601
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)
NJ 1077

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.