Kennedy Medical Group

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MB06994600 Issued in NJ

Legal business name

KENNEDY MEDICAL GROUP

Doing business as

Kennedy Health Alliance

Practice address

545 Beckett Rd
Suite 206
Swedesboro, NJ 08085-1547

Phone

(856) 467-9634

NPI assigned

Jan 10, 2012

Organization subpart

Yes

Parent organization

KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathy Schleider

Title

Director, Physician Integration

Phone

(856) 783-1892

Specialties & licenses 1

Addresses

Other names 1

• Kennedy Health Alliance Doing business as

Part of

Kennedy Neph Hyper Asso

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1124398904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BECKETT RD",
            "address_2": "SUITE 206",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851547",
            "telephone_number": "856-467-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BECKETT RD",
            "address_2": "SUITE 206",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851547",
            "telephone_number": "856-467-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER INC.",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "SCHLEIDER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "DIRECTOR, PHYSICIAN INTEGRATION",
        "authorized_official_telephone_number": "856-783-1892"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB06994600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Health Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea E Jones, LSW
• Janae Jones
• JSR Healthcare, PC
• Christina M Kaplan
• Karampreet Kaur, MD
• Emma Kerr, PA-C
• Elizabeth Kilpatrick-Fox, D.M.D.
• Kingdom Living
• Klddmd1Pc
• Kristen Marie Kreutzberg, LAC

• Obstetrics & Gynecology Physician in Swedesboro, NJ
• Providers in Swedesboro, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.