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Kennedy Medical Group Practice P.C.

Surgery Physician in Cherry Hill, NJ · enumerated 2017 · authorized official Carman Ciervo, Exp/Cpe.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225559495

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Registry record

Entity type Organization (Type 2)
Legal business name Kennedy Medical Group Practice P.C.
Other name <Unavail>
Practice address 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ, 08002
Phone (856) 665-2017
Fax (856) 488-6769
Enumeration date Jun 28, 2017
Last updated in NPPES Jun 28, 2017

Taxonomy & classification

133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Carman Ciervo
Title Exp/Cpe
Phone (856) 344-7360

Other identifiers

Identifier Type State Issuer
0411248 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Kennedy Medical Group Practice P.C.?
NPPES lists Carman Ciervo (Exp/Cpe) as the authorized official for this organization.
What is the NPI number for Kennedy Medical Group Practice P.C.?
The NPI for Kennedy Medical Group Practice P.C. is 1225559495, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-06-28.