D/B/A/ KENNEDY HEALTH ALLIANCE – NPI #1255743357
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

D/B/A/ KENNEDY HEALTH ALLIANCE is a thoracic surgeon located in SICKLERVILLE, NJ. NPPES has assigned the NPI number 1255743357 to D/B/A/ KENNEDY HEALTH ALLIANCE on May 22, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “D/B/A/ 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 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

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 D/B/A/ KENNEDY HEALTH ALLIANCE below.

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

NPI Number
1255743357
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): D/B/A/ KENNEDY HEALTH ALLIANCE
Primary location
524 WILLIAMSTOWN ROAD
SICKLERVILLE, NJ 08081
Phone: (856) 772-9600 Fax: (856) 772-9650
Mailing address
205 E. LAUREL ROAD
2ND FLOOR
STRATFORD, NJ 08084
Phone: (856) 783-1987 Fax: (856) 783-1403
Organization Subpart
Yes - D/B/A/ KENNEDY HEALTH ALLIANCE is subpart of another organization.
Authorized Official
KATHERINE SCHLEIDER
VPCLINICAL INTEGRATION & POPULATION
Phone: (856) 783-1987
Updated
Identifiers

Identifiers for D/B/A/ 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
OTHERRAILROAD MEDICARENJP00633440
MEDICAIDNJ3911101
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
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)		 NJ 25MB03854300

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.