NPIMap

Organization Active NPI

Kennedy University Hospital Inc.

  • General Acute Care Hospital
  • Stratford, NJ
National Provider Identifier
1386746592
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10403 Issued in NJ
Legal business name
KENNEDY UNIVERSITY HOSPITAL INC.
Practice address
18 E Laurel Rd
Stratford, NJ 08084-1327
Phone
(856) 346-6000
Fax
(856) 346-6005
NPI assigned
Sep 1, 2006
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Timothy Maccracken
Title
Regional Cfo
Phone
(215) 481-2853

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 10403 NJ
General Acute Care Hospital 282N00000X 10403 NJ Primary

Addresses

Primary practice location

18 E Laurel Rd
Stratford, NJ 08084-1327

Mailing address

PO Box 787032
Philadelphia, PA 19178-7032
Phone (856) 661-5164

Other practice location 1

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (856) 488-6500

Other practice location 2

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 582-2500

Other identifiers 1

IdentifierTypeStateIssuer
4140206MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service Other Ciox Health

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040305000634 NJ Part A Provider - Hospital 3274442868 Practice locations: Stratford, NJ; Turnersville, NJ; Sewell, NJ; Cherry Hill, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386746592. Details of each certification follow.

Hospital certification: CCN 310086

Legal name
KENNEDY UNIVERSITY HOSPITAL, INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 21, 2025
Beds
596
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 18, 1963 in NJ
Enrollment address
18 E Laurel Rd
Stratford Division
Stratford, NJ 80841327
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Jefferson Stratford HospitalCCN 310086 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Kennedy Memorial Hosp U15 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

Member organizations 8

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Jefferson University Organization, Philadelphia, PA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2017 100%
Cristina Cavalieri Individual Corporate OfficerAssistant Secretary Jul 1, 2022
Jefferson Health Corporation Organization, Philadelphia, PA Corporation, Holding company, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 30, 2024 100%
Alexander Sharnoff Individual Corporate OfficerAssistant Secretary Jul 1, 2023
John Silvestri Individual Corporate OfficerBoard Member Jan 1, 2015
Robert Lee Thomas Individual Corporate OfficerChief Accounting Officer Jul 1, 2025
Aaron Chang Individual Corporate OfficerPresident Jul 1, 2024
W-2 Managing EmployeePresident Jul 1, 2024
Timothy Maccracken Individual Corporate OfficerVP of Finance Feb 1, 2025
Bruce Paprone Individual Corporate OfficerBoard Member Jan 1, 2015

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jefferson Health at Home by BayadaVoorhees, NJ, CCN 317073 Home health agency 5% Or Greater Indirect Ownership Interest Jun 6, 2022
Jefferson Health at Home by BayadaPhiladelphia, PA, CCN 397643 Home health agency 5% Or Greater Indirect Ownership Interest (2.7%) Jun 6, 2022
Jefferson Health at Home by BayadaHorsham, PA, CCN 397145 Home health agency 5% Or Greater Indirect Ownership Interest (2.7%) Jun 6, 2022
Jefferson Health at Home by BayadaHorsham, PA, CCN 391524B Hospice 5% Or Greater Indirect Ownership Interest (2.7%) Jun 6, 2022

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Jeffhome NJ, LLC.

    dba Jefferson Health at Home by BAYADA

    • Home Health Agency
    • Voorhees, NJ
    • NPI 1689321960

    5% Or Greater Indirect Ownership Interest

    CMS ownership
  • Jeffhome PA, LLC.

    dba Jefferson Health at Home by BAYADA

    • Community Based Hospice Care Agency
    • Norristown, PA
    • NPI 1376280719

    5% Or Greater Indirect Ownership Interest

    CMS ownership
  • Jeffhome PA, LLC.

    dba Jefferson Health at Home by BAYADA

    • Community Based Hospice Care Agency
    • Horsham, PA
    • NPI 1538816871

    5% Or Greater Indirect Ownership Interest

    CMS ownership
  • Jeffhome PA, LLC.

    dba Jefferson Health at Home by BAYADA

    • Home Health Agency
    • Horsham, PA
    • NPI 1639826969

    5% Or Greater Indirect Ownership Interest

    CMS ownership
  • Jeffhome PA, LLC.

    dba Jefferson Health at Home by BAYADA

    • Home Health Agency
    • Philadelphia, PA
    • NPI 1700533049

    5% Or Greater Indirect Ownership Interest

    CMS ownership
  • Jeffhome PA, LLC.

    dba Jefferson Health at Home by BAYADA

    • Home Health Agency
    • Norristown, PA
    • NPI 1902553233

    5% Or Greater Indirect Ownership Interest

    CMS ownership

Facilities with the same owner 27

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 27

Practitioners & affiliated clinicians

Practitioners 137

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 137

Affiliated clinicians 1,064

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,064

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1386746592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787032",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787032",
            "telephone_number": "856-661-5164",
            "fax_number": "856-661-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E LAUREL RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841327",
            "telephone_number": "856-346-6000",
            "fax_number": "856-346-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Chapel Ave W",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080022048",
            "country_code": "US",
            "telephone_number": "856-488-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 Hurffville Cross Keys Rd",
            "address_purpose": "LOCATION",
            "city": "Turnersville",
            "state": "NJ",
            "postal_code": "080122453",
            "country_code": "US",
            "telephone_number": "856-582-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNEDY UNIVERSITY HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "MACCRACKEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "REGIONAL CFO",
        "authorized_official_telephone_number": "215-481-2853"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NJ",
            "license": "10403",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "10403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4140206",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1'",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.