Kennedy Medical Group Practice PC
NPI 1952848905ActiveOrganization· Family Medicine· Sewell, NJ
Family Medicine in Sewell, New Jersey, registered in NPPES in January 2017. The authorized official on file is Carmen Ciervo, DO, Chief Executive Officer.
Overview
| NPI | 1952848905 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2017 |
| Last updated in NPPES | Jan 30, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 25MA04155300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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