NJ MED PA NPI 1225439037

NPI Information

  • NPI: 1225439037
  • Provider Name: NJ MED PA
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • CLIA Number: 31D2246443
  • Address: 240 WILLIAMSON ST
    SUITE 204
    ELIZABETH, NJ
    ZIP 07202
  • Phone: (908) 355-8877

Map and Directions

Get Directions

NPI Details

NJ MED PA is a non pharmacy dispensing site in Elizabeth, NJ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) NJ MED PA NPI is 1225439037. The provider is registered as an organization entity type.

The provider's business location address is:

240 WILLIAMSON ST
SUITE 204
ELIZABETH, NJ
ZIP 07202-674
Phone: (908) 355-8877

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.

The CLIA number assigned to this NPI record is 31D2246443 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2014 and was last updated on 9/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing Site25MA05507700NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI