Kennedy University Hospital, Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

KENNEDY UNIVERSITY HOSPITAL, INC

Practice address

1 Somerdale SQ
Somerdale, NJ 08083-1345

Phone

(856) 309-7700

Fax

(856) 566-8944

NPI assigned

Mar 2, 2017

Last updated

Mar 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Felicia A. Nesmith-Cunningham

Title

Corporate Director

Phone

(856) 309-7721

Specialties & licenses 1

Addresses

Other names 1

• Kennedy Family Health Services Podiatrist Group Other name

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1568902146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOMERDALE SQ",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831345",
            "telephone_number": "856-309-7700",
            "fax_number": "856-566-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOMERDALE SQ",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831345",
            "telephone_number": "856-309-7700",
            "fax_number": "856-566-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY UNIVERSITY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "NESMITH-CUNNINGHAM",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "856-309-7721",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Family Health Services Podiatrist Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles James Idler, ED.D.
• Integrity Family Solutions
• Diana Neal Juelg, APN
• Vijay K Kalola, M.D.
• Shawn Patrick Kelly, D.M.D.
• Kennedy University Hospital, Inc. (Kennedy Family Health Services)
• Kennedy University Hospitals (Kennedy Family Health Services)
• David Jay Kirstein, D.C.
• Christine Klenk, ATC, CSCS
• Shawn Thomas Klenk, ATC

• Foot & Ankle Surgery Podiatrist in Somerdale, NJ
• Providers in Somerdale, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.