Kennedy Cherry Hill Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KENNEDY CHERRY HILL SURGICAL CENTER LLC

Doing business as

Jefferson Surgery Center - Cherry Hill

Practice address

2211 Chapel Ave W Ste 200
Cherry Hill, NJ 08002-2048

Phone

(856) 295-9041

Fax

(856) 295-9042

NPI assigned

Jun 13, 2017

Organization subpart

No

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

Authorized official

Name

Michael Rivlin, MDNPI 1245403013

Title

Board Chair

Phone

(856) 295-9041

Specialties & licenses 1

Addresses

Other names 1

• Jefferson Surgery Center - Cherry Hill Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Jefferson Surgery Center Cherry HillCCN 31C0001331

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Kennedy University Hospital, Inc

  dba Kennedy Family Health Services

  • Primary Care Clinic/Center
  • Sewell, NJ
  • NPI 1649296294

  Member Of

  NPD member
• Rothman Orthopaedics of New Jersey, LLC

  dba Rothman Orthopaedic Institute

  • Prosthetic/Orthotic Supplier
  • Marlton, NJ
  • NPI 1386652261

  Member Of

  NPD member

Locations

Practitioners 1

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

• Michael Rivlin, MD

  • Orthopaedic Hand Surgery Physician
  • Bensalem, PA
  • NPI 1245403013
  NPD Authorized official

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1821528753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7010",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662070010",
            "telephone_number": "913-647-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CHAPEL AVE W STE 200",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-295-9041",
            "fax_number": "856-295-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY CHERRY HILL SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "RIVLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "856-295-9041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Surgery Center - Cherry Hill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson Surgery Center - Cherry Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonna Kem, LPC
• Agnes Kemigabo
• Joanne Marie Kemp, PT
• Anton Kemps, MD
• Kenbro Enterprises, LLC (Hearing Aids by Zounds)
• Kennedy Health System
• Kennedy Health System Assisted Living
• Kennedy Health Systems
• Kennedy Hospital
• Kennedy Medical Group Practice P.C. (Kennedy Health Alliance)

• Ambulatory Surgical Clinic/Center in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.