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

Kennedy Medical Group Practice PC

Organization Family Medicine Physician · NPI 1942746367

Kennedy Medical Group Practice PC is a Family Medicine Physician in Woodbury, New Jersey. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
4
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

159 S Broad St
Woodbury, NJ 08096-2410
Phone: (844) 542-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Gastroenterology Physician Taxonomy 207RG0100X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1942746367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carman Ciervo — Cpe · (856) 344-7360
Other names Kennedy Health Alliance
NPI enumeratedJanuary 9, 2017
Last updated in NPPESOctober 19, 2017
Mailing address205 E Laurel Rd, Stratford, NJ 08084-1301

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