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 1881987337

Kennedy Medical Group Practice PC is a Family Medicine Physician in Turnersville, New Jersey. Licensed in New Jersey. Registered with an NPI since 2011.

Licensed in
NJ
In the registry since
2011
Specialties on file
3
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

1 A Regulus Dr
Turnersville, NJ 08012
Phone: (856) 256-7513
Fax: (856) 256-7518
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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 · Licence 25MB05175300 (NJ)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1881987337
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKennedy Health System
Authorized official Carman Ciervo — Ceo · (856) 783-1987
NPI enumeratedMay 17, 2011
Last updated in NPPESOctober 19, 2017
Mailing address1 A Regulus Drive, Turnersville, NJ 08012

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