NPIMap

Organization Active NPI

Kennedy Health System

  • General Acute Care Hospital
  • Sewell, NJ
National Provider Identifier
1689961963
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
KENNEDY HEALTH SYSTEM
Practice address
454 Hurffville Crosskeys Rd
Sewell, NJ 08080-2339
Phone
(856) 582-1419
Fax
(856) 582-7661
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Mr. Shawn Thurber
Title
Senior Clinician
Phone
(856) 582-1419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

454 Hurffville Crosskeys Rd
Sewell, NJ 08080-2339

Mailing address

454 Hurffville Crosskeys Rd
Sewell, NJ 08080-2339
Phone (856) 582-1419

Other identifiers 1

IdentifierTypeStateIssuer
4140206MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Kennedy Neph Hyper Asso15 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

Locations

454 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 557-7509

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1689961963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 HURFFVILLE CROSSKEYS RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802339",
            "telephone_number": "856-582-1419",
            "fax_number": "856-582-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 HURFFVILLE CROSSKEYS RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802339",
            "telephone_number": "856-582-1419",
            "fax_number": "856-582-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "THURBER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "SENIOR CLINICIAN",
        "authorized_official_telephone_number": "856-582-1419",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4140206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 7, 2011; 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.