KENNEDY HEALTH ALLIANCE – NPI #1043580806
Surgery

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

KENNEDY HEALTH ALLIANCE is a surgeon located in SEWELL, NJ. NPPES has assigned the NPI number 1043580806 to KENNEDY HEALTH ALLIANCE on January 10, 2012. 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.. The primary taxonomy selected by this provider is 2086X0206X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Oncology

The NPI profile was previously updated about 12 years ago on Jun 18, 2014. 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
1043580806
Enumeration Date

(more than 14 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
900 MEDICAL CENTER DR
SUITE 201
SEWELL, NJ 08080-2358
Phone: (856) 218-2100 Fax: (856) 218-2101
Mailing address
Same as primary location
Organization Subpart
Yes - KENNEDY HEALTH ALLIANCE is subpart of another organization.
Authorized Official
KATHY SCHLEIDER
VP CLINICAL INTEGRATION
Phone: (856) 783-1892
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
2086X0206X
- Surgery / Surgical Oncology (Primary)
NJ 25MA08651300

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.