Changebridge Medical Associates, PA
Non-Pharmacy Dispensing Site in Montville, New Jersey
1760757884- Practice location
- 170 Changebridge RD, C-3, Montville, NJ 07045-9115
- Phone
- 973-575-5540
- Fax
- —
- Last updated
- October 25, 2012
Changebridge Medical Associates, PA is a healthcare organization based in Montville, NJ. Changebridge Medical Associates, PA practices in Montville, NJ. The NPI Number for Changebridge Medical Associates, PA is 1760757884 and holds a License No. 25MA04449000 (NJ). The current practice location address for Changebridge Medical Associates, PA is 170 Changebridge RD, C-3, Montville, NJ 07045-9115 and can be reached out via phone at 973-575-5540.
Provider Profile Details
- NPI Number
- 1760757884
- Provider Name
- Changebridge Medical Associates, PA
- Provider Entity Type
- Organization
- Address
- 170 Changebridge RD, C-3, Montville, NJ 07045-9115
- Phone Number
- 973-575-5540
- Primary Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X
- Organization Subpart
- Yes
- Parent Organization
- Medvantx, INC.
- Authorized Official
- Kenny Heine · Sr Director Ops · 858-964-1506
- Provider Enumeration Date
- March 22, 2012
- Last Update Date
- October 25, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Changebridge RD
C-3
Montville, NJ 07045-9115 - City
- Montville
- State
- New Jersey
- Zip
- 07045-9115
- Phone Number
- 973-575-5540
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
- 25MA04449000
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Changebridge Medical Associates, PA?
The NPI number of Changebridge Medical Associates, PA is 1760757884. It was assigned on March 22, 2012 and is currently active in the NPPES registry.
What is the specialty of Changebridge Medical Associates, PA?
Changebridge Medical Associates, PA is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X), licensed in NJ under license number 25MA04449000.
Where does Changebridge Medical Associates, PA practice?
The practice location is 170 Changebridge RD, C-3, Montville, NJ 07045-9115. The office can be reached at 973-575-5540 (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 1760757884 directly on the NPPES registry website.