Organization Active NPI

Kennedy J Sbat DO FCCP LLC

  • Internal Medicine Physician
  • Pottstown, PA
National Provider Identifier
1972158889
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KENNEDY J SBAT DO FCCP LLC
Practice address
1569 Medical Dr Ste 203
Pottstown, PA 19464-3223
Phone
(484) 645-6534
Fax
(484) 752-4071
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Kennedy J. Sbat, DO
Title
Physician / Owner
Phone
(484) 645-6534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1569 Medical Dr Ste 203
Pottstown, PA 19464-3223

Mailing address

1569 Medical Dr Ste 203
Pottstown, PA 19464-3223
Phone (484) 645-6534

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1972158889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 MEDICAL DR STE 203",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643223",
            "telephone_number": "484-645-6534",
            "fax_number": "484-945-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 MEDICAL DR STE 203",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643223",
            "telephone_number": "484-645-6534",
            "fax_number": "484-752-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY J SBAT DO FCCP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "SBAT",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "484-645-6534",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.