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KENNEDY MEDICAL GROUP PRACTICE P.C. NPI 1952726796


NPI Information

NPI: 1952726796
Provider Name: KENNEDY MEDICAL GROUP PRACTICE, P.C.

Doing Business As: JEFFERSON HEALTH

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
333 LAUREL OAK RD
VOORHEES, NJ
ZIP 08043
Phone: (856) 783-1987
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KENNEDY MEDICAL GROUP PRACTICE, P.C. is a family medicine in Voorhees, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KENNEDY MEDICAL GROUP PRACTICE, P.C. NPI is 1952726796. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jefferson Health.

The provider's business location address is:

333 LAUREL OAK RD
VOORHEES, NJ
ZIP 08043-453
Phone: (856) 783-1987

The provider's authorized official is Ricardo Perez .
The authorized official title is Vp Of Clinical Services and has the following contact phone number (856) 218-5634.

The enumeration date for this NPI number is 3/4/2014 and was last updated on 6/8/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207V00000XObstetrics & GynecologyNo
52084N0400XPsychiatry & NeurologyNeurologyNo
62086S0129XSurgeryVascular SurgeryNo
7208D00000XGeneral PracticeNo
8208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
9208M00000XHospitalistNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10411248MEDICAIDNEW JERSEY

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.