Kennedy Care Center,P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB31922 Issued in NJ

Legal business name

KENNEDY CARE CENTER,P.A.

Practice address

705 White Horse Rd
Suite D-102
Voorhees, NJ 08043-2468

Phone

(856) 783-0695

Fax

(856) 783-8083

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey Leitman, D.O.NPI 1952448797

Title

President

Phone

(856) 783-0695

Specialties & licenses 1

Addresses

Practitioners 2

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

• Jeffrey Leitman, D.O.

  • Family Medicine Physician
  • New York, NY
  • NPI 1952448797
  NPD (past) Authorized official
• Staci Paula Wenger, P.T.

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1124230719
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1184761850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WHITE HORSE RD",
            "address_2": "SUITE D-102",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432468",
            "telephone_number": "856-783-0695",
            "fax_number": "856-783-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WHITE HORSE RD",
            "address_2": "SUITE D-102",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432468",
            "telephone_number": "856-783-0695",
            "fax_number": "856-783-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY CARE CENTER,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "LEITMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-783-0695",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB31922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Sue Kell, PH.D.
• Amy Alissa Kelley
• Meghan Kelly
• Michelle Kelly, M.D.
• Riana Caryn Kelly, LPC
• Kennedy Medical Group D/B/a Kennedy Health Alliance
• Kennedy Medical Group P.C.
• Kennedy Medical Group Practice P.C.
• Kennedy Medical Group Practice, P.C.
• Kennedy Medical Group Practice, P.C.

• Family Medicine Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.