Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kennedy Medical Group Practice PC

Family Medicine Physician in Sewell, NJ · enumerated 2017 · authorized official Carmen Ciervo, Chief Executive Officer.

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

National Provider Identifier

1952848905

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Registry record

Entity type Organization (Type 2)

Legal business name Kennedy Medical Group Practice PC

Other name <Unavail>

Practice address 100 Kings Way E, Suite D2, Sewell, NJ, 08080

Phone (856) 218-7730

Fax (856) 218-4808

Enumeration date Jan 30, 2017

Last updated in NPPES Jan 30, 2017

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 25MA04155300 (NJ) Primary

Authorized official

Name Carmen Ciervo

Title Chief Executive Officer

Phone (856) 566-5202

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-01-30. Verify at npiregistry.cms.hhs.gov.

Where is Kennedy Medical Group Practice PC located?

The practice location on file with NPPES is in Sewell, NJ.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-30.