Kennedy Medical Group Practice, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25 MB08832100 Issued in NJ

Legal business name

KENNEDY MEDICAL GROUP PRACTICE, P.C.

Practice address

333 Laurel Oak Rd
Voorhees, NJ 08043-4453

Phone

(844) 542-2273

Fax

(856) 770-9194

NPI assigned

Jan 10, 2012

Organization subpart

Yes

Parent organization

KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER INC.As reported in NPPES

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

Authorized official

Name

Kathy Schleider

Title

VP Clinical Integration

Phone

(856) 344-7360

Specialties & licenses 1

Addresses

Other names 1

• Kennedy Health Alliance Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kennedy Medical Group P.C.

  • Psychologist
  • Voorhees, NJ
  • NPI 1609314004

  O20140613000689

  Same enrollment
• Kennedy Medical Group Practice P.C.

  • Internal Medicine Physician
  • Sicklerville, NJ
  • NPI 1023374766

  O20140613000689

  Same enrollment
• Kennedy Medical Group Practice P.C.

  • Family Medicine Physician
  • Sewell, NJ
  • NPI 1598937617

  O20140613000689

  Same enrollment
• Kennedy Medical Group Practice P.C.

  • Family Medicine Physician
  • Glassboro, NJ
  • NPI 1740213461

  O20140613000689

  Same enrollment
• Kennedy Medical Group Practice P.C.

  • Family Medicine Physician
  • Turnersville, NJ
  • NPI 1881987337

  O20140613000689

  Same enrollment
• Kennedy Medical Group Practice PC

  • Family Medicine Physician
  • Sewell, NJ
  • NPI 1952848905

  O20140613000689

  Same enrollment
• Kennedy Medical Group Practice, P.C.

  • Surgical Oncology Physician
  • Sewell, NJ
  • NPI 1043580806

  O20140613000689

  Same enrollment
• Kennedy Medical Group Practice, P.C.

  • Vascular Surgery Physician
  • Voorhees, NJ
  • NPI 1073884847

  O20140613000689

  Same enrollment
• Kennedy Medical Group Practice, P.C.

  • Radiation Oncology Physician
  • Sewell, NJ
  • NPI 1093051468

  O20140613000689

  Same enrollment
• Kennedy Medical Group Practice, P.C.

  • Internal Medicine Physician
  • Stratford, NJ
  • NPI 1205114071

  O20140613000689

  Same enrollment
• Kennedy Medical Group Practice, P.C.

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1427350040

  O20140613000689

  Same enrollment
• Kennedy Medical Group Practice, P.C.

  • Family Medicine Physician
  • Stratford, NJ
  • NPI 1437410990

  O20140613000689

  Same enrollment

Part of

Kennedy Neph Hyper Asso

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soofia Kashif, MD

  • Hospitalist Physician
  • Cherry Hill, NJ
  • NPI 1659641983
  NPD

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1811267693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434453",
            "telephone_number": "844-542-2273",
            "fax_number": "856-770-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434453",
            "telephone_number": "844-542-2273",
            "fax_number": "856-770-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY MEDICAL GROUP PRACTICE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNEDY MEMORIAL HOSPITAL UNIVERSITY MEDICAL CENTER INC.",
        "enumeration_date": "2012-01-10",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "SCHLEIDER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VP CLINICAL INTEGRATION",
        "authorized_official_telephone_number": "856-344-7360"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25 MB08832100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Health Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennedy Medical Group P.C.
• Kennedy Medical Group Practice P.C.
• Kennedy Medical Group Practice, P.C.
• Kennedy Medical Group Practice, P.C.
• Kennedy Medical Group Practice, P.C.
• Kennedy Medical Group Practice, P.C.
• Kennedy Medical Group Practice, P.C. D/B/a Kennedy Health Alliance
• Kennedy Medical Group Practice, PC
• Kennedy University Hospital Inc.
• Kennedy University Hospital, Inc

• Family Medicine Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.