NPIMap

Organization Active NPI

Kennedy University Hospital, Inc

  • Clinic/Center
  • Sewell, NJ
National Provider Identifier
1154645299
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KENNEDY UNIVERSITY HOSPITAL, INC
Practice address
445 Hurffville Crosskeys Rd BLDG a
Sewell, NJ 08080-2337
Phone
(856) 557-5555
Fax
(856) 218-2873
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Mrs. Michelle Sills
Title
Office Manager
Phone
(856) 557-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

445 Hurffville Crosskeys Rd BLDG a
Sewell, NJ 08080-2337

Mailing address

445 Hurfville - Crosskeys Rd.
Building a
Sewell, NJ 08080
Phone (856) 557-5555

Other practice location 1

1 Somerdale Square
Somerdale, NJ 08083
Phone (856) 557-5555

Other names 1

  • Kennedy OB GYN Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040719000006 NJ Part B Supplier - Clinic/Group Practice 3274442868 Receives reassigned benefits from 20 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sewell, NJ; Somerdale, NJ; Swedesboro, NJ; Cherry Hill, NJ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

100 Kings Way E
Ste A3
Sewell, NJ 08080
Phone (856) 262-1900

445 Hurffville Crosskeys Rd
Bldg A
Sewell, NJ 08080
Phone (856) 218-2312

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1583280000000",
    "number": "1154645299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HURFVILLE - CROSSKEYS RD.",
            "address_2": "BUILDING A",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "856-557-5555",
            "fax_number": "856-218-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HURFFVILLE CROSSKEYS RD BLDG A",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802337",
            "telephone_number": "856-557-5555",
            "fax_number": "856-218-2873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Somerdale Square",
            "address_purpose": "LOCATION",
            "city": "Somerdale",
            "state": "NJ",
            "postal_code": "08083",
            "country_code": "US",
            "telephone_number": "856-557-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNEDY UNIVERSITY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-557-5555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy OB GYN Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kennedy OB GYN Associates",
            "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 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.