Kennedy Medical Group Practice, P.C.
NPI 1669847646ActiveOrganization· Surgery· Cherry Hill, NJ
Surgery in Cherry Hill, New Jersey, registered in NPPES in December 2015. The authorized official on file is Carman Ciervo, Cpe.
Overview
| NPI | 1669847646 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 2, 2015 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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