Kennedy Medical Group D/B/a Kennedy Health Alliance

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE

Doing business as

Kennedy Health Alliance

Practice address

1A Regulus Drive
Turnersville, NJ 08012

Phone

(856) 256-7513

NPI assigned

Nov 14, 2013

Last updated

Nov 27, 2013By 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

Katherine Schleider

Title

Vice President - Clinical Integrati

Phone

(856) 783-1892

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kennedy Health Alliance Doing business as

Locations

Practitioners 1

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.

• Rosemary A Decicco, PA-C

  • Physician Assistant
  • Marlton, NJ
  • NPI 1083897599
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1811327638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A REGULUS DRIVE",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-256-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1A REGULUS DRIVE",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-256-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY MEDICAL GROUP D/B/A KENNEDY HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "SCHLEIDER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "VICE PRESIDENT - CLINICAL INTEGRATI",
        "authorized_official_telephone_number": "856-783-1892"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255220",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Health Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph a. Midili D.C., Inc.
• Robert Kania
• Brianna Kelly
• Emmalyn Kelly
• Kelsch Associates Inc. New Jersey
• Kennedy Medical Group Practice P.C. (Kennedy Health Alliance)
• Kennedy Medical Group Practice P.C. (Kennedy Health Alliance)
• Kennedy Medical Group Practice P.C.
• Kennedy Medical Group Practice P.C. D/B/a Kennedy Health Alliance
• Kennedy Medical Group Practice, P.C.D/B/a Kennedy Health Alliance

• Family Medicine Physician in Turnersville, NJ
• Providers in Turnersville, 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 Nov 27, 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.