NPIMap

Organization Active NPI

Kennedy University Hospital Inc

Doing business as Kennedy Health Systems EMS

  • Land Ambulance
  • Lindenwold, NJ
National Provider Identifier
1457330672
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
KENN00301 Issued in NJ
Legal business name
KENNEDY UNIVERSITY HOSPITAL INC
Doing business as
Kennedy Health Systems EMS
Practice address
140 Walnut Ave
Lindenwold, NJ 08021-7555
Phone
(856) 782-9064
Fax
(856) 782-9068
NPI assigned
Jan 16, 2006
Last updated
Apr 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Ronald A Forsyth
Title
Director
Phone
(856) 627-5409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X KENN00301 NJ Primary

Addresses

Primary practice location

140 Walnut Ave
Lindenwold, NJ 08021-7555

Mailing address

PO Box 13704
30TH Street Station
Philadelphia, PA 19101-3704
Phone (856) 782-9064

Other identifiers 1

IdentifierTypeStateIssuer
7809506MedicaidNJ

Other names 1

  • Kennedy Health Systems EMS Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2201 Chapel Ave W
Ste 101
Cherry Hill, NJ 08002
Phone (856) 488-6458

2211 Chapel Ave W
Ste 103
Cherry Hill, NJ 08002
Phone (856) 922-5180

2211 Chapel Ave W
Ste 501
Cherry Hill, NJ 08002
Phone (856) 922-5180

140 Walnut Ave
Lindenwold, NJ 08021
Phone (856) 627-5409

300 Medical Center Dr
#A1
Sewell, NJ 08080
Phone (856) 218-4990

400 Medical Center Dr
Ste D
Sewell, NJ 08080
Phone (856) 346-7896

900 Medical Center Dr
Sewell, NJ 08080
Phone (856) 557-7900

101 E Laurel Rd
Slp Ctr
Stratford, NJ 08084
Phone (856) 346-7896

333 Laurel Oak Rd
Ste D
Voorhees, NJ 08043
Phone (856) 809-4300

301 N Route 73
West Berlin, NJ 08091
Phone (856) 557-6020

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1457330672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13704",
            "address_2": "30TH STREET STATION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191013704",
            "telephone_number": "856-782-9064",
            "fax_number": "856-782-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WALNUT AVE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080217555",
            "telephone_number": "856-782-9064",
            "fax_number": "856-782-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY UNIVERSITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "FORSYTH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-627-5409"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "KENN00301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7809506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Health Systems EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lindenwold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.