Kennedy Medical Group Practice, P.C.
NPI 1629343421ActiveOrganization· Surgery, Vascular Surgery· Sewell, NJ
Surgery, Vascular Surgery in Sewell, New Jersey, registered in NPPES in March 2012, part of Kennedy Memorial Hospital University Medical Center Inc. The authorized official on file is Katherine Katherine, Vp Clinical Integration.
Overview
| NPI | 1629343421 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kennedy Memorial Hospital University Medical Center Inc. |
| NPI issued | Mar 13, 2012 |
| Last updated in NPPES | Jun 18, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | 25MA09025500 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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