JERSEY SHORE MONMOUTH FAMILY MEDICINE GROUP PC (NPI# 1760886139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760886139 |
| Entity Type | Organization |
| Organization Name | JERSEY SHORE MONMOUTH FAMILY MEDICINE GROUP PC |
| Other Organization Name | MERIDIAN JS MONMOUTH FAMILY MEDICINE GROUP AT HOWELL JACKSON MEDICAL C |
| Practice Address |
4764 Routh 9 South Howell NJ 07731 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7323703563 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA09443900 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| Meridian JS Monmouth Family Medicine Group at Howell Jackson Medical C | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679976435 | Jersey Shore Monmouth Family Medicine Group PC | Non-Pharmacy Dispensing Site | 27 S Cooks Bridge Rd, Suite 27, Jackson, NJ 08527-2524 | 2014-10-07 |
| Street Address |
4764 ROUTH 9 SOUTH |
| City | HOWELL |
| State | NJ |
| Zip Code | 07731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366976011 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15 Putnam Road, Howell, NJ 07731 | 2017-04-19 |
| 1902258296 | Dungarvin New Jersey, LLC-milton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Milton St, Howell, NJ 07731 | 2016-07-11 |
| 1861898249 | Charles M. Cummins, Od, Pa | Optometrist | 4733 Hwy 9, Howell, NJ 07731 | 2014-11-12 |
| 1619389772 | Towne Home Care | Home Health | 5140 Us Highway 9, Howell, NJ 07731 | 2014-05-23 |
| 1851702419 | Bethany Jacobs | Counselor | 43 Tioga Drive, Howell, NJ 07731 | 2014-05-16 |
| 1437577855 | Salvatore Mule | Family Medicine | 4564 Us Highway 9, Howell, NJ 07731 | 2014-04-02 |
| 1518382878 | Shoshana Herskovits | Speech-Language Pathologist | 4772 U.S. 9, Howell, NJ 07731 | 2014-02-24 |
| 1194148262 | Brett Michael London | Chiropractor | 602 Candlewood Commons, Howell, NJ 07731 | 2014-01-27 |
| 1487084539 | Megan Steinwagner | Social Worker | 25 Lake Drive, Howell, NJ 07731 | 2013-11-26 |
| 1225302466 | Moss Urologic Surgery, LLC | Clinic/Center | 2356 Route 9 South, Suite B6, Howell, NJ 07731 | 2012-03-06 |
| Find all providers in zip 07731 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| 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.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215226253 | Partners In Freedom LLC | Non-Pharmacy Dispensing Site | 500 Candlewood Commons, Howell, NJ 07731-2172 | 2011-03-30 |
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|---|---|---|---|---|
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| 1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
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| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.