Kennedy Medical Group D/B/a Kennedy Health Alliance

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE

Practice address

900 New Jersey 168 North
Ste. C3
Blackwood, NJ 08012

Phone

(856) 374-0430

NPI assigned

Apr 30, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine Schleider

Title

Corporate Director

Phone

(856) 783-1987

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1790120152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NEW JERSEY 168 NORTH",
            "address_2": "STE. C3",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-374-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NEW JERSEY 168 NORTH",
            "address_2": "STE. C3",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-374-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "SCHLEIDER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "856-783-1987",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Hannah Kawei
• Tracy A. Kellem, RPH
• Kelsch Associates Inc. New Jersey
• Dana Carol Kemery, APN
• Kennedy & Karing Associates
• Kennedy Medical Group Practice P.C.
• Kennedy Medical Group Practice, P.C.
• Caroline Kircher, LCSW
• Terry Kirk
• Evelyn Koppel, MSW LCSW

• Medical Physician Assistant in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.