KENNEDY HEALTH SYSTEMS NPI 1578817755

NPI Information

  • NPI: 1578817755
  • Provider Name: KENNEDY HEALTH SYSTEMS
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 454 HURFFVILLE CROSSKEYS RD
    SEWELL, NJ
    ZIP 08080
  • Phone: (856) 582-1419

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NPI Details

KENNEDY HEALTH SYSTEMS is a mental health (including community mental health center) clinic center in Sewell, NJ. KENNEDY HEALTH SYSTEMS NPI is 1578817755. The provider is registered as an organization entity type.

The provider's business location address is:

454 HURFFVILLE CROSSKEYS RD
SEWELL, NJ
ZIP 08080-339
Phone: (856) 582-1419
Fax: (856) 582-7661

The provider's authorized official is Russell Micoli .
The authorized official title is Coporate Director and has the following contact phone number (856) 488-6734.

The enumeration date for this NPI number is 11/9/2012 and was last updated on 11/9/2012.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)NEW JERSEYYes

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: 3/30/2025

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