KENNEDY HEALTH ALLIANCE – NPI #1669847646
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

KENNEDY HEALTH ALLIANCE is a surgeon located in CHERRY HILL, NJ. NPPES has assigned the NPI number 1669847646 to KENNEDY HEALTH ALLIANCE on December 02, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KENNEDY HEALTH ALLIANCE” 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 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 HEALTH ALLIANCE below.

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

NPI Number
1669847646
Enumeration Date

(more than 10 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): KENNEDY HEALTH ALLIANCE
Primary location
2211 CHAPEL AVE WEST
STE 301
CHERRY HILL, NJ 08002
Phone: (856) 665-2017 Fax: (856) 488-6769
Mailing address
333 LAUREL OAK RD
VOORHEES, NJ 08043-4453
Phone: (856) 783-1987 Fax: (856) 783-1403
Organization Subpart
No
Authorized Official
CARMAN CIERVO
CPE
Phone: (856) 344-7360
Updated
Identifiers

Identifiers for KENNEDY HEALTH ALLIANCE

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.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)
207RG0100X
- Internal Medicine / Gastroenterology
207R00000X
- Internal Medicine

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.