Kennedy University Hospital Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

1077 Issued in NJ

Legal business name

KENNEDY UNIVERSITY HOSPITAL INC.

Practice address

201 Laurel Oak Rd
Suite a
Voorhees, NJ 08043-4424

Phone

(856) 566-6123

Fax

(856) 566-9432

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Lario

Title

Chief Financial Officer

Phone

(856) 661-5144

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kennedy Dialysis Center - Voorhees Doing business as

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1972605004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13703",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191013703",
            "telephone_number": "856-661-5164",
            "fax_number": "856-661-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAUREL OAK RD",
            "address_2": "SUITE A",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434424",
            "telephone_number": "856-566-6123",
            "fax_number": "856-566-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY UNIVERSITY HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "LARIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "856-661-5144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NJ",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5087601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Dialysis Center - Voorhees",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Kristi A. Kennedy, WHNP-BC
• Kenneth J. Oskowiak & Associates, DMD,PC
• Julie Kentrus, LCSW
• Sharla Joy Keough, APN-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.