Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kennedy Medical Group Practice, PC

Organization Family Medicine Physician · NPI 1437410990

Kennedy Medical Group Practice, PC is a Family Medicine Physician in Stratford, New Jersey. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
6
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 E Laurel Rd 2nd Fl
Stratford, NJ 08084-1301
Phone: (856) 816-0255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Neurology Physician Taxonomy 2084N0400X
Surgery Physician Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1437410990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Perez — Vice President Of Clinical Operatio · (856) 218-5634
Other names Kennedy Health Alliance; Kennedy Health Alliance
NPI enumeratedMay 31, 2012
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020
Mailing address400 Laurel Oak Rd Ste 105, Voorhees, NJ 08043-4455

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