JEFFERSON HEALTH – NPI #1952726796
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.

JEFFERSON HEALTH is a provider located in VOORHEES TOWNSHIP, NJ. NPPES has assigned the NPI number 1952726796 to JEFFERSON HEALTH on March 04, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JEFFERSON HEALTH” is a dba name, the actual legal business name for this organization is KENNEDY MEDICAL GROUP PRACTICE, P.C.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 5 years ago on Jun 08, 2021. 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 JEFFERSON HEALTH below.

NPI Profile for
KENNEDY MEDICAL GROUP PRACTICE, P.C.

NPI Number
1952726796
Enumeration Date

(more than 12 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 MEDICAL GROUP PRACTICE, P.C.
Doing Business As (dba): JEFFERSON HEALTH
Primary location
333 LAUREL OAK RD
VOORHEES TOWNSHIP, NJ 08043-4453
Phone: (856) 783-1987 Fax:
Mailing address
PO BOX 824967
PHILADELPHIA, PA 19182-4967
Phone: (800) 941-8933 Fax: (732) 918-8940
Organization Subpart
Yes - JEFFERSON HEALTH is subpart of another organization.
Authorized Official
RICARDO PEREZ
VP OF CLINICAL SERVICES
Phone: (856) 218-5634
Updated
Certification Date
Jun 08, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JEFFERSON HEALTH

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
MEDICAIDNJ0411248
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.

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.