| Kennedy Family Health Services | |
|
1 Somerdale Sq Somerdale NJ 08083-1345 | |
| (856) 557-5555 | |
| (856) 566-8944 |
| Full Name | Kennedy Family Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Somerdale Sq, Somerdale, New Jersey |
| Authorized Official Name and Position | Michelle Sills (OFFICE MANAGER) |
| Authorized Official Contact | 8565575555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Family Health Services 1 Somerdale Sq Somerdale NJ 08083-1345 Ph: (856) 557-5555 | Kennedy Family Health Services 1 Somerdale Sq Somerdale NJ 08083-1345 Ph: (856) 557-5555 |
| NPI Number | 1295751832 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 03/04/2020 |
| Medicare PECOS PAC ID | 3274442868 |
|---|---|
| Medicare Enrollment ID | O20040719000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295751832 | NPI | - | NPPES |
| 6843301 | Medicaid | NJ | |
| 4140222 | Medicaid | NJ |
| Provider Name | Donald A Barone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396933768 PECOS PAC ID: 9335034214 Enrollment ID: I20040219000140 |
| Provider Name | Donald A Krachman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265507214 PECOS PAC ID: 1850378241 Enrollment ID: I20040702000740 |
| Provider Name | Joseph L Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841229457 PECOS PAC ID: 8022011923 Enrollment ID: I20060815000175 |
| Provider Name | Robert J. Warkala |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851339659 PECOS PAC ID: 5092892521 Enrollment ID: I20080409000112 |
| Provider Name | Catherine M Gerety |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144425554 PECOS PAC ID: 0648338632 Enrollment ID: I20081020000493 |
| Provider Name | Kenneth C Covone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316138829 PECOS PAC ID: 7911056999 Enrollment ID: I20090521000410 |
| Provider Name | Anthony P Salerno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801876222 PECOS PAC ID: 0547308975 Enrollment ID: I20091105000149 |
| Provider Name | Danette Glenn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720028921 PECOS PAC ID: 7214072370 Enrollment ID: I20100302000018 |
| Provider Name | Linda J Szczurek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073703492 PECOS PAC ID: 4082747134 Enrollment ID: I20100727000442 |
| Provider Name | Frederick L Cole |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518076561 PECOS PAC ID: 2365546389 Enrollment ID: I20101027000595 |
| Provider Name | Jennifer E Hummel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134327026 PECOS PAC ID: 6800076928 Enrollment ID: I20110207000941 |
| Provider Name | Maria Bich Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841487485 PECOS PAC ID: 9830285600 Enrollment ID: I20110509000265 |
| Provider Name | Andrew S Blackstone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023391612 PECOS PAC ID: 3274519095 Enrollment ID: I20111116000529 |
| Provider Name | Diana L Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245218163 PECOS PAC ID: 6901063890 Enrollment ID: I20120203000643 |
| Provider Name | Quenise Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184995284 PECOS PAC ID: 1557529708 Enrollment ID: I20120220001050 |
| Provider Name | Deborah A White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679702682 PECOS PAC ID: 4183859200 Enrollment ID: I20131028000251 |
| Provider Name | Frank Oware |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487901633 PECOS PAC ID: 9931338308 Enrollment ID: I20140205000429 |
| Provider Name | Melissa L Suarez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942511837 PECOS PAC ID: 4082834338 Enrollment ID: I20141008001499 |
| Provider Name | Suheil Guzman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811048531 PECOS PAC ID: 8123126810 Enrollment ID: I20160215000498 |
| Provider Name | Jessica Cherry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619316213 PECOS PAC ID: 5799928131 Enrollment ID: I20170831000278 |
| Provider Name | Nicholas Butler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528444809 PECOS PAC ID: 6103171467 Enrollment ID: I20180611001119 |
| Provider Name | Sipika Tyagi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245646579 PECOS PAC ID: 4486909439 Enrollment ID: I20180615002154 |
| Provider Name | Natasha Halyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033690318 PECOS PAC ID: 3173876604 Enrollment ID: I20181030000914 |
| Provider Name | Kimberly L Villegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790240729 PECOS PAC ID: 9234479700 Enrollment ID: I20190320000018 |
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Primary Care Affiliates Of Nj, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 227 E Somerdale Rd, Somerdale, NJ 08083 Phone: 856-784-2626 Fax: 856-784-0375 |