Provider Type Icon

AVENEL ISELIN MEDICAL GROUP PA NPI 1669717864


NPI Information

NPI: 1669717864
Provider Name: AVENEL ISELIN MEDICAL GROUP PA

Doing Business As: AVENEL ISELIN MEDICAL GROUP

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
400 GILL LN
1
ISELIN, NJ
ZIP 08830
Phone: (732) 404-1580
Get Directions

AVENEL ISELIN MEDICAL GROUP PA is a non pharmacy dispensing site in Iselin, 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.) AVENEL ISELIN MEDICAL GROUP PA NPI is 1669717864. The provider is registered as an organization entity type.
The provider Is Doing Business As Avenel Iselin Medical Group.

The provider's business location address is:

400 GILL LN
1
ISELIN, NJ
ZIP 08830-059
Phone: (732) 404-1580

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

The enumeration date for this NPI number is 11/29/2012 and was last updated on 11/29/2012.


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 Site25MA05991500NEW 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: 5/5/2024

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.