NPIMap

Organization Active NPI

Kennedy University Hospital, Inc

Doing business as Kennedy Comprehensive Breast Center

  • Clinic/Center
  • Sewell, NJ
National Provider Identifier
1144544297
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KENNEDY UNIVERSITY HOSPITAL, INC
Doing business as
Kennedy Comprehensive Breast Center
Practice address
900 Medical Center Dr
Suite 201
Sewell, NJ 08080-2358
Phone
(856) 218-2100
Fax
(856) 218-2101
NPI assigned
Mar 18, 2010
Last updated
Mar 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Mrs. Katherine Schleider
Title
Corporate Director
Phone
(856) 218-5710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

900 Medical Center Dr
Suite 201
Sewell, NJ 08080-2358

Mailing address

900 Medical Center Dr
Suite 201
Sewell, NJ 08080-2358
Phone (856) 218-2100

Other identifiers 1

IdentifierTypeStateIssuer
6843301MedicaidNJ

Other names 1

  • Kennedy Comprehensive Breast Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mark a Demasi DO15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1144544297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MEDICAL CENTER DR",
            "address_2": "SUITE 201",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802358",
            "telephone_number": "856-218-2100",
            "fax_number": "856-218-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MEDICAL CENTER DR",
            "address_2": "SUITE 201",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802358",
            "telephone_number": "856-218-2100",
            "fax_number": "856-218-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY UNIVERSITY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "SCHLEIDER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "856-218-5710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6843301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Comprehensive Breast Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.