Island Medical PA
Non-Pharmacy Dispensing Site in Ship Bottom, New Jersey
1639587801- Practice location
- 1812 Long Beach Blvd, Ship Bottom, NJ 08008-4443
- Phone
- 609-494-2323
- Fax
- —
- Last updated
- July 31, 2014
Island Medical PA is a healthcare organization based in Ship Bottom, NJ. Island Medical PA practices in Ship Bottom, NJ. The NPI Number for Island Medical PA is 1639587801 and holds a License No. 25MA05374000 (NJ). The current practice location address for Island Medical PA is 1812 Long Beach Blvd, Ship Bottom, NJ 08008-4443 and can be reached out via phone at 609-494-2323.
Provider Profile Details
- NPI Number
- 1639587801
- Provider Name
- Island Medical PA
- Provider Entity Type
- Organization
- Address
- 1812 Long Beach Blvd, Ship Bottom, NJ 08008-4443
- Phone Number
- 609-494-2323
- Primary Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X
- Organization Subpart
- Yes
- Parent Organization
- Medvantx, INC.
- Authorized Official
- Kenny Heine · Vp Of Operations · 858-964-1506
- Provider Enumeration Date
- July 31, 2014
- Last Update Date
- July 31, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1812 Long Beach Blvd
Ship Bottom, NJ 08008-4443 - City
- Ship Bottom
- State
- New Jersey
- Zip
- 08008-4443
- Phone Number
- 609-494-2323
Provider Business Mailing Address Details
- Address
- 5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705 - City
- San Diego
- State
- CA
- Zip
- 92121-1705
License Information
- License Number
- 25MA05374000
- License State
- NJ
- Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Non-Pharmacy Dispensing Site providers near Ship Bottom, NJ
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- Mr. Daniel A Unger, ATCSpecialist · NPI 1861467516
- Jaclyn HoffmanCounselor, Professional · NPI 1356702120
- Christina Levine, FNPNurse Practitioner, Family · NPI 1033761176
- Dr. Sean M Martin, DMDDentist, General Practice · NPI 1609992619
Frequently Asked Questions
What is the NPI number of Island Medical PA?
The NPI number of Island Medical PA is 1639587801. It was assigned on July 31, 2014 and is currently active in the NPPES registry.
What is the specialty of Island Medical PA?
Island Medical PA is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X), licensed in NJ under license number 25MA05374000.
Where does Island Medical PA practice?
The practice location is 1812 Long Beach Blvd, Ship Bottom, NJ 08008-4443. The office can be reached at 609-494-2323 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639587801 directly on the NPPES registry website.