NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kennedy Medical Group Practice, P.C.

Surgery Physician in Cherry Hill, NJ · enumerated 2015 · authorized official Carman Ciervo, Cpe.

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

National Provider Identifier

1669847646

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Kennedy Medical Group Practice, P.C.
Other name <Unavail>
Practice address 2211 Chapel Ave West, Ste 301, Cherry Hill, NJ, 08002
Phone (856) 665-2017
Fax (856) 488-6769
Enumeration date Dec 2, 2015
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Carman Ciervo
Title 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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Kennedy Medical Group Practice, P.C.?
Kennedy Medical Group Practice, P.C. is registered in NPPES as a Surgery Physician (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.