Active NPIOrganization

Jersey Shore Monmouth Family Medicine Group PC

Non-Pharmacy Dispensing Site in Jackson, New Jersey

NPI Number1679976435
Practice location
27 S Cooks Bridge RD, Suite 27, Jackson, NJ 08527-2524
Fax
—
Last updated
October 7, 2014

Jersey Shore Monmouth Family Medicine Group PC is a healthcare organization based in Jackson, NJ. Jersey Shore Monmouth Family Medicine Group PC practices in Jackson, NJ. The NPI Number for Jersey Shore Monmouth Family Medicine Group PC is 1679976435 and holds a License No. 25MA08265400 (NJ). The current practice location address for Jersey Shore Monmouth Family Medicine Group PC is 27 S Cooks Bridge RD, Suite 27, Jackson, NJ 08527-2524 and can be reached out via phone at 732-987-5545.

Provider Profile Details

NPI Number
1679976435
Provider Name
Jersey Shore Monmouth Family Medicine Group PC
Provider Entity Type
Organization
Address
27 S Cooks Bridge RD, Suite 27, Jackson, NJ 08527-2524
Phone Number
732-987-5545
Primary Taxonomy
Non-Pharmacy Dispensing Site · 332900000X
Organization Subpart
Yes
Parent Organization
Medvantx, INC.
Authorized Official
Kenny Heine · Vp Of Operations · 858-964-1506
Other Names
Meridian Js Monmouth Family Medical Group At Jackson Village (Doing Business As)
Provider Enumeration Date
October 7, 2014
Last Update Date
October 7, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 S Cooks Bridge RD
Suite 27
Jackson, NJ 08527-2524
Zip
08527-2524
Phone Number
732-987-5545
Jackson, NJ 08527Get directions →

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
25MA08265400
License State
NJ
Taxonomy
Non-Pharmacy Dispensing Site · 332900000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jersey Shore Monmouth Family Medicine Group PC?

The NPI number of Jersey Shore Monmouth Family Medicine Group PC is 1679976435. It was assigned on October 7, 2014 and is currently active in the NPPES registry.

What is the specialty of Jersey Shore Monmouth Family Medicine Group PC?

Jersey Shore Monmouth Family Medicine Group PC is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X), licensed in NJ under license number 25MA08265400.

Where does Jersey Shore Monmouth Family Medicine Group PC practice?

The practice location is 27 S Cooks Bridge RD, Suite 27, Jackson, NJ 08527-2524. The office can be reached at 732-987-5545 (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 1679976435 directly on the NPPES registry website.

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