KENNEDY MEDICAL GROUP PRACTICE P.C. NPI 1346615333

NPI Information

  • NPI: 1346615333
  • Provider Name: KENNEDY MEDICAL GROUP PRACTICE, P.C.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 31D0118144
  • Address: 457 HADDONFIELD RD
    STE. 110
    CHERRY HILL, NJ
    ZIP 08002
  • Phone: (856) 783-1987

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NPI Details

KENNEDY MEDICAL GROUP PRACTICE, P.C. is an internal medicine in Cherry Hill, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. KENNEDY MEDICAL GROUP PRACTICE, P.C. NPI is 1346615333. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

457 HADDONFIELD RD
STE. 110
CHERRY HILL, NJ
ZIP 08002-220
Phone: (856) 783-1987
Fax: (856) 783-1403

The provider's authorized official is Carman A Ciervo .
The authorized official title is Ceo and has the following contact phone number (856) 783-1987.

The CLIA number assigned to this NPI record is 31D0118144 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2015 and was last updated on 10/19/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
32084N0400XPsychiatry & NeurologyNeurologyNo
4207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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