KENNEDY MEDICAL GROUP PRACTICE, P.C. – NPI #1093051468
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

KENNEDY MEDICAL GROUP PRACTICE, P.C. is a radiologist located in SEWELL, NJ. NPPES has assigned the NPI number 1093051468 to KENNEDY MEDICAL GROUP PRACTICE, P.C. on December 12, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. 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 MEDICAL GROUP PRACTICE, P.C. below.

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

NPI Number
1093051468
Enumeration Date

(more than 13 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.
Primary location
900 MEDICAL CENTER DR STE 100
SEWELL, NJ 08080-2358
Phone: (856) 582-3008 Fax: (856) 582-3009
1 Other location(s):
457 Haddonfield Rd Ste 110
Liberty View Cherry Hill
Cherry Hill, NJ 08002-2223
Phone: (856) 406-4091
Fax: (856) 406-4570
Mailing address
457 HADDONFIELD RD STE 110
LIBERTY VIEW CHERRY HILL
CHERRY HILL, NJ 08002-2223
Phone: (856) 406-4091 Fax:
Organization Subpart
No
Authorized Official
CARMAN CIERVO
CPE
Phone: (856) 783-1987
Updated
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
2085R0001X
- Radiology / Radiation Oncology (Primary)

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.